早期乳腺癌患者应用保乳手术及改良根治术治疗的临床疗效比较  

Patients with early breast conserving surgery and radical improvement of the clinical efficacy of the treatment comparisons

作　　者：范红星[1] 倪建勋[1] 

机构地区：[1]阜新矿业集团总医院普外二科,辽宁阜新123000

出　　处：《中外医疗》2015年第4期76-77,共2页China & Foreign Medical Treatment

摘　　要：目的比较早期乳腺癌患者应用保乳手术及改良根治术治疗的临床疗效。方法资料随机选取2013年4月—2014年4月该院诊治的早期乳腺癌患者108例,按照不同治疗方式分为两组,对照组54例患者行改良根治术,研究组54例患者行保乳手术;观察并比较两组患者治疗相关性指标,乳房美容效果,病灶局部复发及转移情况。结果研究组治疗相关性指标均优于对照组,乳房美容优良率92.59%比对照组77.78%高,差异有统计学意义(P<0.05);研究组病灶局部复发及转移率均略低于对照组,但比较差异无统计学意义(P>0.05)。结论早期乳腺癌患者应用保乳手术及改良根治术治疗均不会发生较多的病灶局部复发及转移,但保乳手术临床效果更佳,且具有良好的美容作用。Objective Comparison of patients with early breast conserving surgery and modified radical mastectomy clinical effica-cy of treatment. Methods Data were randomly selected patients with early breast cancer in April 2013—2014 April hospital for treatment of 108 patients divided into two groups according to different treatment, the control group of 54 patients underwent modi-fied radical mastectomy, study group of 54 patients who underwent breast-conserving surgery; observed and compared the two groups of patients with treatment-related indicators, the cosmetic results of breast lesions local recurrence and metastasis. Results Research group therapy-related indicators are better than the control group, the rate of 92.59% excellent cosmetic breast than the control group （77.78%） high, were statistically significant （P 〈0.05）; research focus group of local recurrence and metastasis rate was slightly lower than in the control group However, no significant difference comparison （P〉 0.05）. Conclusion Patients with early breast conserving surgery and treatment were modified radical mastectomy does not happen more local recurrence and metastatic lesions, but the clinical effect of breast-conserving surgery is better, and has a good cosmetic effect.

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]