早期乳腺癌保乳手术与改良根治术的临床疗效对比研究  

Comparisons of Effects between Breast-conserving and Modified Radical Operation of Early-stage Breast Cancer

作　　者：姚慧韬 吴康康[1] 

机构地区：[1]浙江省金华市人民医院外科,浙江金华321000

出　　处：《中国现代医生》2011年第26期40-41,86,共3页China Modern Doctor

摘　　要：目的对比保乳手术与改良根治术治疗早期乳腺癌的疗效。方法分别对30例和33例早期乳腺癌患者行保乳手术(保乳组)和改良根治术(改良组),比较两组疗效及患者术后生存质量。结果保乳组并发症显著少于改良组(P<0.05);两组远处转移、3年复发率及3年生存率之间差异无统计学意义(P>0.05);保乳组生活质量明显优于改良组(P<0.05)。结论保乳手术和改良根治术在早期乳腺癌术后早期并发症、远处转移、复发率及生存率方面无明显差异,保乳手术能显著提高患者术后生存质量,但应严格把握适应证。Objective To compare the effects between breast-conserving and modified radical operation of early-stage breast cancer. Methods All 30 cases received the breast-conserving and 33 cases received the modified radical operation. The effects and quality of life between the two groups were compared. Results The complications of breast-conserving were less than modified radical operation （ P 〈 0.05 ） ; They had no differences in metastasis, survival rate and recurrence rate （ P 〈 0.05 ） ; Breast-conserving was superior to modified radical operation in the quality of life （ P 〈 0.05 ）. Conclusion The effects between breast-conserving and modified radical operation are similar, breast-conserving would obviously improve the quality of post-operation life, should strictly select indication.

关 键 词：乳腺癌 保乳手术 改良根治术 

分 类 号：R737.9[医药卫生—肿瘤]