保乳手术与改良根治术在早期乳腺癌患者中的临床价值

Clinical Value of Breast-conserving Surgery and Modified Radical Operation in Patients With Early Breast Cancer

目的探析早期乳腺癌疾病的治疗中,保乳手术与改良根治术的临床疗效。方法研究样本收录为早期乳腺癌患者,样本收录时间为2019年1月-2020年3月,以此阶段收治的60例患者为样本,其中接受改良根治术的30例患者纳入对照组,接受保乳手术治疗的30例患者纳入试验组,分析两组患者治疗结局。结果试验组美容优良率96.67%,较之对照组80.00%,组间数据差异有统计学意义(P<0.05);试验组共发生2例并发症,发生率6.67%,较之对照组8例并发症,发生率26.67%,组间数据差异有统计学意义(P<0.05);手术治疗数据分析:对照组患者手术用时、术后总出血量、切口长度、引流量、引流时间、住院时间等治疗数据较之试验组患者同项数据,两组数据差异有统计学意义(P<0.05);生存质量数据分析:干预前,两组患者生存质量评分数据组间差异无统计学意义(P>0.05);干预后,试验组患者在生理状态、机体功能、心理状态、社会功能、情感表达五项数据方面较之对照组数据明显更高,组间数据差异有统计学意义(P<0.05)。结论早期乳腺癌接受保乳手术治疗,不但能够最大限度上保证患者的器官完整性,同时在疾病治疗方面也有着更高的疗效,术后并发症发生率降低,患者生存质量有效提升。

Objective To explore the clinical efficacy of breast-conserving surgery and modified radical surgery in the treatment of early breast cancer.Methods The study sample included early breast cancer patients.The sample collection period was from January 2019 to March 2020.60 patients admitted at this stage were taken as the sample.Among them,30 patients who underwent modified radical surgery were included in the control group.Thirty patients treated with breast-conserving surgery were included in the experimental group,and the treatment outcomes of the two groups were analyzed.Results The cosmetic excellent and good rate of the test group was 96.67%,compared with the control group 80.00%,the data difference between the groups was significant(P<0.05).2 complications occurred in the test group,the incidence rate was 6.67%,compared with 8 complications in the control group,The incidence rate was 26.67%,and the data difference between the groups was significant(P<0.05),analysis of surgical treatment data:the control group patients compared with treatment data such as operation time,total postoperative bleeding volume,incision length,drainage volume,drainage time,hospitalization time,etc,with the same data of the patients in the experimental group,the difference between the two groups of data was statistically significant(P<0.05),analysis of quality of life data:before intervention,the difference in the quality of life score data of the two groups of patients was small,there was no statistical significance(P>0.05).After intervention,the five data of physiological state,body function,mental state,social function,and emotional expression of patients in the experimental group were significantly higher than those of the control group,and the data difference between the groups was statistically significant(P<0.05).Conclusion Early breast cancer undergoing breast-conserving surgery can improperly ensure the integrity of the patient’s organs,and also has a higher efficacy in disease treatment.The incidence of postoperative complications is reduced,and the quality of life of patients is effectively improved.