弧形切口保乳术治疗乳腺癌患者的效果分析

Efficacy of breast-conserving surgery by arcuate incision in patients with breast cancer

目的:分析弧形切口保乳术治疗乳腺癌患者的效果。方法:选取83例乳腺癌患者,依照手术方法不同分为两组。对照组41例,接受放射切口保乳术治疗,观察组42例,接受弧形切口保乳术治疗,比较两组治疗效果。结果:两组切口长度、手术时间比较,均无统计学差异(P>0.05);观察组术中失血量较对照组少(P<0.05);观察组美容优良率92.86%高于对照组73.17%(P<0.05);两组切口感染、瘀斑、血肿发生率比较,均无统计学差异(P>0.05);两组术后1年转移率、复发率比较,均无统计学差异(P>0.05);术后6个月、1年,两组生存质量均得到提升,且观察组FACT-B评分较对照组高(P<0.05)。结论:弧形切口保乳术治疗乳腺癌,美容效果显著,并能减少术中失血量,提高生存质量,安全性较高。

Objective:To analyze the effect of breast-conserving surgery by arcuate incision on patients with breast cancer.Methods:83 breast cancer patients were divided into two groups according to different surgical methods.41 cases in the control group received breast-conserving surgery by radiation incision,while another 42 cases in the observation group were treated with breast-conserving surgery by arc incision,and the therapeutic effects were compared between the two groups.Results:There were no significant difference in the length of incision and operation time between the two groups(P>0.05),and the blood loss during the operation in the observation group was less than that in the control group(P<0.05);the excellent and good rate of beauty in the observation group was 92.86%the observation group,higher than 73.17%in the control group(P<0.05);there was no significant difference in the incidence of incision infection,ecchymosis,and hematoma between the two groups(P>0.05);there was no significant difference in the metastasis rate and recurrence rate in both groups one year after surgery(P>0.05);and 6 months and one year after surgery,the quality of life of patients in both groups were improved,and the FACT-B scores of the observation group were higher than those of the control group(P<0.05).Conclusion:Breast-conserving surgery by arcuate incision has a significant cosmetic effect for patients with breast cancer,and it can reduce intraoperative blood loss and improve the quality of life without increasing the risk of complications,recurrence and metastasis.