保乳手术与改良根治术治疗早期乳腺癌的临床疗效比较  

Clinical efficacy comparison of breast-conserving surgery and modified radical mastectomy in treatment of early breast cancer

作　　者：李伟[1] 王冰涛[1] 尚宏清[1] 姚金华[1] 

机构地区：[1]北京市海淀医院普通外科,北京100800

出　　处：《局解手术学杂志》2014年第1期79-81,共3页Journal of Regional Anatomy and Operative Surgery

摘　　要：目的观察保乳术与改良根治术治疗早期乳腺癌的临床疗效。方法 80例早期乳腺癌患者按手术方法分为2组,保乳组采用保乳术,根治组采用乳腺癌改良根治术,比较2种手术方式的临床疗效。结果保乳组手术时间、术中出血量、平均引流量、住院时间、并发症的发生率明显低于根治组,保乳组乳房外形评价优良率明显高于根治组(P<0.05)。但是保乳组患者术后局部复发率、远处转移率、3年及5年生存率与根治组比较没有明显差异(P>0.05)。结论保乳手术治疗早期乳腺癌疗效满意,值得推广应用。Objective To compare the effects of breast-conserving and modified radical mastectomy of early-stage breast cancer. Meth- ods 80 patients with early breast cancer were divided into two groups according to the different operation methods. The treatment group were given breast-conserving surgery while the control group were given modified radical mastectomy, and the clinical efficacy of two groups were observed. Results The operation time, intraoperatve blood soss, average drainage and the length of hospital stay of the breast-conserving group were significantly lower than those of the control group, and the excellent rate of breast shape in the breast-conserving group was signif- icantly higher with a statistically significant difference （ P 〈 0.05 ）. There was no significant difference between the two groups in the local re- currence rate, distant metastasis rate, 3-year survival rate or 5-year survival rate （ P 〉 0.05 ）. Conclusion The effect of breast-conserving surgery in treatment of early breast cancer is satisfactory, so it is recommending for wide application.

关 键 词：早期乳腺癌 保乳手术 改良根治术 

分 类 号：R737.9[医药卫生—肿瘤]