改良横切口在乳腺癌改良根治术中的临床应用价值分析  

Clinical Application Analysis of Modified Transverse Incision in Radical Mastectomy of Breast Cancer

作　　者：游琳[1] 

机构地区：[1]四川省成都市新都区人民医院急诊科,610500

出　　处：《医学理论与实践》2012年第18期2215-2216,共2页The Journal of Medical Theory and Practice

摘　　要：目的:探讨改良横切口在乳腺癌改良根治术中的临床应用价值。方法:将我院2007-2009年间收治的94例行乳腺癌根治术患者随机分为观察组和对照组,每组各47例,对照组患者采用标准Stewart横切口,观察组患者采用改良横切口,术后对患者进行2～3年随访,观察两组患者并发症、复发、转移及生存率情况。结果:观察组患者术后并发症发生率为8.5%,显著低于对照组的25.5%,组间差异有统计学意义(P<0.05)。术后随访2～3年发现两组患者在复发率、转移率及生存率方面的差异无统计学意义(P>0.05)。结论:将改良横切口应用于乳腺癌改良根治术,具有暴露面小、并发症发生率低、术后不影响美观等优势,值得临床进一步推广使用。Objective： To investigate clinical application value of modified transverse incision in radical mastectomy ot breast cancer. Methods： 94 cases with radical mastectomy of breast cancer in our hospital from 2007 to 2009 were ran- domly divided into observation group and control group,47 cases in each group, used standard Stewart transverse inci- sion in patients of the control group, patients in the observation group were treated by modified transverse incision, fol- low-up 2~3 years after treatment, observed complications, recurrence, metastasis and survival rate of two groups. Re- sults：Patients in observation group, the postoperative complication rate was 8. 5 %, significantly lower than that of con- trol group 25. 5%, the difference between two groups was statistically significant （P〈0. 05）. Follow up 2~3 years af- ter treatment, the differences of recurrence rate, metastasis rate and survival rate between two groups was not statisti- cally significant （P〈0. 05）. Conclusion： The modified transverse incision applied in radical mastectomy of breast cancer has an small exposed surface, low complication rate, further clinical using. and does not affect postoperative appearance, so it is worthy of

关 键 词：乳腺癌根治术 改良横切口 临床价值 

分 类 号：R737.9[医药卫生—肿瘤]