The purpose of the study was to compare the clinical efficacy of breast conserving surgery and modified radical mastectomy in the treatment of early breast cancer.Firstly,the clinical data of 74 patients with early br...The purpose of the study was to compare the clinical efficacy of breast conserving surgery and modified radical mastectomy in the treatment of early breast cancer.Firstly,the clinical data of 74 patients with early breast cancer treated in our hospital from June 2015 to June 2016 were retrospectively analyzed.Among them,37 patients treated with breast-conserving surgery were set as the study group,and 37 patients treated with modified radical surgery were set as the control group,and the therapeutic effects of the two groups were compared.The results showed that compared with the control group,the incision length,intraoperative blood loss,operation time and hospital stay time were better in the study group,and the excellent and good rate of postoperative breast beauty was higher,with statistically significant differences(P<0.05).There were no statistically significant differences in distant metastasis rate,local recurrence rate,axillary lymph node recurrence rate and fatality rate between the two groups(P>0.05).Therefore,breast-conserving surgery and modified radical surgery have better efficacy in the treatment of early breast cancer,but breast-conserving surgery has more advantages,such as smaller incision,less intraoperative blood loss,shorter operative time and hospital stay,and better postoperative aesthetic effect,which can be used as the first choice for early breast cancer.展开更多
目的:探讨乳腺癌患者采取前哨淋巴结活检(sentinel lymph node biopsy,SLNB)联合改良根治术治疗效果。方法:选取南阳市中心医院接受手术治疗的86例乳腺癌疾病患者,以入院次序为分组原则,分为对照组和观察组,各43例,改良根治术作为对照组...目的:探讨乳腺癌患者采取前哨淋巴结活检(sentinel lymph node biopsy,SLNB)联合改良根治术治疗效果。方法:选取南阳市中心医院接受手术治疗的86例乳腺癌疾病患者,以入院次序为分组原则,分为对照组和观察组,各43例,改良根治术作为对照组,SLNB联合改良根治术作为观察组,对比治疗后两组手术时间、术中出血量、住院时间、临床有效率、糖类抗原125(carbohydrate antigen 125,CA125)、癌胚抗原(carcinoembryonic antigen,CEA)、糖类抗原153(cancer antigens 153,CA153)水平及健康调查简表(the MOS 36-item short form health survey,SF-36)的变化。结果:观察组手术时间、术中出血量、住院时间均明显低于对照组(P<0.05);观察组临床有效率为97.67%显著高于对照组76.74%(P<0.05);观察组术后CA125、CEA、CA153水平与对照组相对比无统计学差异(P>0.05);术后观察组的SF-36量表各项分值均高于对照组(P<0.05)。结论:临床治疗乳腺癌患者时,采取SLNB联合改良根治术治疗,不仅能有效缩短手术及住院时间,降低术中出血量,还可控制术后并发症发生率,促进康复,改善生活质量。展开更多
目的探讨赋能教育指导对乳腺癌根治术后患者自我管理水平和上肢功能的影响。方法选择2016年8月至2017年8月在本院住院治疗的160例乳腺癌根治术后患者作为研究对象,将收入一病区的80例患者设为对照组,术后采用常规的健康教育方法;将收入...目的探讨赋能教育指导对乳腺癌根治术后患者自我管理水平和上肢功能的影响。方法选择2016年8月至2017年8月在本院住院治疗的160例乳腺癌根治术后患者作为研究对象,将收入一病区的80例患者设为对照组,术后采用常规的健康教育方法;将收入二病区的80例患者设为研究组,术后在对照组基础上实施赋能教育指导,干预时间14d。比较干预前后两组患者健康促进策略量表(strategies used by people to promote health,SUPPH)和上肢功能评分量表(disability of arm,shoulder and hand,DASH)评分的组间和组内差异。结果干预后,研究组患者SUPPH和DASH评分高于对照组和干预前(P<0.001)。干预后,研究组患者自我管理水平和上肢功能优于对照组和干预前。结论赋能教育指导可提高乳腺癌根治术后患者自我管理能力,改善患者上肢功能。展开更多
文摘The purpose of the study was to compare the clinical efficacy of breast conserving surgery and modified radical mastectomy in the treatment of early breast cancer.Firstly,the clinical data of 74 patients with early breast cancer treated in our hospital from June 2015 to June 2016 were retrospectively analyzed.Among them,37 patients treated with breast-conserving surgery were set as the study group,and 37 patients treated with modified radical surgery were set as the control group,and the therapeutic effects of the two groups were compared.The results showed that compared with the control group,the incision length,intraoperative blood loss,operation time and hospital stay time were better in the study group,and the excellent and good rate of postoperative breast beauty was higher,with statistically significant differences(P<0.05).There were no statistically significant differences in distant metastasis rate,local recurrence rate,axillary lymph node recurrence rate and fatality rate between the two groups(P>0.05).Therefore,breast-conserving surgery and modified radical surgery have better efficacy in the treatment of early breast cancer,but breast-conserving surgery has more advantages,such as smaller incision,less intraoperative blood loss,shorter operative time and hospital stay,and better postoperative aesthetic effect,which can be used as the first choice for early breast cancer.
文摘目的:探讨乳腺癌患者采取前哨淋巴结活检(sentinel lymph node biopsy,SLNB)联合改良根治术治疗效果。方法:选取南阳市中心医院接受手术治疗的86例乳腺癌疾病患者,以入院次序为分组原则,分为对照组和观察组,各43例,改良根治术作为对照组,SLNB联合改良根治术作为观察组,对比治疗后两组手术时间、术中出血量、住院时间、临床有效率、糖类抗原125(carbohydrate antigen 125,CA125)、癌胚抗原(carcinoembryonic antigen,CEA)、糖类抗原153(cancer antigens 153,CA153)水平及健康调查简表(the MOS 36-item short form health survey,SF-36)的变化。结果:观察组手术时间、术中出血量、住院时间均明显低于对照组(P<0.05);观察组临床有效率为97.67%显著高于对照组76.74%(P<0.05);观察组术后CA125、CEA、CA153水平与对照组相对比无统计学差异(P>0.05);术后观察组的SF-36量表各项分值均高于对照组(P<0.05)。结论:临床治疗乳腺癌患者时,采取SLNB联合改良根治术治疗,不仅能有效缩短手术及住院时间,降低术中出血量,还可控制术后并发症发生率,促进康复,改善生活质量。
文摘目的探讨腹腔镜直肠癌根治术中保留左结肠动脉(left colonic artery,LCA)的临床效果。方法随机选择2020年6月—2022年6月贵州省兴义市人民医院收治的80例腹腔镜直肠癌根治术患者为研究对象,根据术中是否保留LCA分为对照组(不保留LCA)与观察组(保留LCA),每组40例。比较两组手术指标、术后并发症、随访1年生存率,以及术前与术后3个月胃肠功能、排尿功能。结果两组手术指标(手术时间、出血量、住院时间)比较,差异无统计学意义(P>0.05)。观察组术后并发症率为5.00%,明显低于对照组的25.00%,差异有统计学意义(χ^(2)=6.275,P=0.012)。两组随访1年生存率比较,差异无统计学意义(P>0.05)。术后3个月,观察组胃肠道生活质量指数表(Gastrointestinal Quality of Life Index,GIQLI)评分高于对照组,而膀胱过度活动症状评分表(Bladder Overactivity Symptom Scale,OABSS)评分低于对照组,差异有统计学意义(P<0.05)。结论针对腹腔镜直肠癌根治术患者,相比不保留LCA而言,术中保留LCA在手术指标与随访1年生存率上无明显差异,但能减少术后并发症发生,而且能更好地改善患者的排尿功能与胃肠功能,有应用价值。
文摘目的探讨赋能教育指导对乳腺癌根治术后患者自我管理水平和上肢功能的影响。方法选择2016年8月至2017年8月在本院住院治疗的160例乳腺癌根治术后患者作为研究对象,将收入一病区的80例患者设为对照组,术后采用常规的健康教育方法;将收入二病区的80例患者设为研究组,术后在对照组基础上实施赋能教育指导,干预时间14d。比较干预前后两组患者健康促进策略量表(strategies used by people to promote health,SUPPH)和上肢功能评分量表(disability of arm,shoulder and hand,DASH)评分的组间和组内差异。结果干预后,研究组患者SUPPH和DASH评分高于对照组和干预前(P<0.001)。干预后,研究组患者自我管理水平和上肢功能优于对照组和干预前。结论赋能教育指导可提高乳腺癌根治术后患者自我管理能力,改善患者上肢功能。
