整形保乳术治疗早期乳腺癌患者的临床效果及对患者预后的影响

Clinical effect of oncoplastic breast-conserving surgery in the treatment of patients with early breast cancer and its influence on patients’prognosis

目的探讨整形保乳术治疗早期乳腺癌患者的临床效果及对患者预后的影响。方法选取2020年2月至2023年2月兰陵县人民医院收治的70例早期乳腺癌患者为研究对象,按照随机数字表法分为观察组(35例)、对照组(35例)。对照组采用肿瘤扩大切除术,观察组采用整形保乳术,比较两组围手术期指标、乳房美观率、术后并发症总发生率及复发率。结果观察组手术时间及住院时间短于对照组,术中出血量及术后引流量少于对照组(P<0.05);观察组乳房美观率为91.43%,高于对照组的68.57%(P<0.05);观察组术后并发症总发生率为5.71%,低于对照组的25.71%(P<0.05);两组复发率比较,差异无统计学意义(P>0.05)。结论整形保乳术治疗早期乳腺癌创伤小、康复快,能够提高乳房美观度,减少并发症,且不会增加复发率,值得推广。

Objective To investigate the clinical effect of oncoplastic breast-conserving surgery in the treatment of patients with early breast cancer and its influence on patients’prognosis.Methods A total of 70 patients with early breast cancer in Lanling County People’s Hospital from February 2020 to February 2023 were selected and divided into observation group(35 cases)and control group(35 cases)by the random number table method.The control group received extensive tumor resection,and the observation group received oncoplastic breast-conserving surgery.The perioperative period indexes,breast aesthetic rate,total incidence of postoperative complications and recurrence rate were compared between the two groups.Results The time of operation and hospitalization in the observation group was shorter than that in the control group,and the volume of intraoperative blood loss and postoperative drainage in the observation group was less than that in the control group(P<0.05).The breast aesthetic rate in the observation group was 91.43%,higher than 68.57%in the control group(P<0.05).The total incidence of postoperative complications in the observation group was 5.71%,lower than 25.71%in the control gr oup(P<0.05).There was no significant difference in the recurrence rate between the two groups(P>0.05).Conclusion Oncoplastic breast-conserving surgery treating patients with early breast cancer has less trauma,faster recovery,can improve breast aesthetics,reduce complications,and will not increase the recurrence rate,which is worth popul arizing.