早期乳腺癌保乳手术与改良根治术的临床疗效分析  

Analysis of clinical efficacy of breast-conserving therapy and modified radical mastectomy in the treatment of early breast cancer

作　　者：韩晓军[1] 苏梅[1] 黄俊伟[1] 欧扬[1] 

机构地区：[1]成都市温江区人民医院普外科,四川成都611130

出　　处：《中国当代医药》2012年第33期14-16,共3页China Modern Medicine

摘　　要：目的比较早期乳腺癌保乳手术与改良根治术的临床疗效,探讨早期乳腺癌的最佳手术方法。方法选择本院2004年1月～2011年3月85例早期乳腺癌患者为研究观察对象,其中,42例纳入治疗组行保乳手术治疗,43例纳入对照组行改良根治术治疗,记录两组患者切口长度、手术出血量等数据。结果治疗组手术时间短、术中出血少、住院时间短、术后并发症发生率低,治疗组美容效果的优良率明显高于对照组(P<0.05)。两组总生存率及无病生存率比较,差异无统计学意义(P>0.05)。结论对于早期乳腺癌,保乳手术是一种切实可行的手术方式。Objective To compare the clinical efficacy between breast-conserving therapy and modified radical mastectomy in the treatment of early breast cancer,and discuss the best operation in the treatment of early breast cancer.Methods Eighty five cases of patients with early breast cancer,who were treated in our hospital from January 2004 to March 2011,were chosen as observation object.Patients in treatment group （42 cases） were treated with breast-conserving therapy,while patients in control group （43 cases） were treated with modified radical mastectomy.The length of incision and bleeding volume in two groups were recorded.Results The treatment group had shorter operation time,less intraoperative bleeding,shorter length of stay,lower incidence rate of postoperative complications.The excellent rate of cosmetic result in treatment group was obviously higher than that of control group （P 0.05）.The comparison of overall survival and disease-free survival between two groups was not statistically significant （P 0.05）.Conclusion Breast-conserving therapy is a feasible operation for early breast cancer.

关 键 词：早期乳腺癌 保乳手术 改良根治术 临床疗效 

分 类 号：R737.9[医药卫生—肿瘤]