保留乳腺手术治疗早期乳腺癌的临床效果观察  

Effect observation of breast conserving therapy in treatment of early breast cancer

作　　者：郭广香[1] 

机构地区：[1]北京市房山区第一医院,北京102400

出　　处：《中国民康医学》2017年第18期27-28,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:观察早期乳腺癌治疗中应用保留乳腺手术的临床效果。方法:回顾性分析90例早期乳腺癌患者,按照术式不同分为对照组与观察组各45例。观察组患者为保留乳腺手术治疗,对照组患者为乳腺癌改良根治术治疗,术后所有患者都行辅助治疗,对比两组患者的临床疗效和术后5年生存率。结果:观察组患者平均手术时间、术后住院时间、术中出血量及术后对切口美容满意度,各种不良反应出现率均低于对照组,差异有统计学意义(P<0.05);术后五年患者存活率相比较,差异无统计学意义(P>0.05)。结论:在早期乳腺癌患者治疗中采用保留乳腺手术,能够大幅度减轻患者痛楚,改善其生活质量。Objective： To observe clinical effects of breast conserving therapy in treatment of early breast cancer. Methods： A total of 90 cases with early breast cancer were selected and divided into observation group（ n = 45） and control group（ n = 45） according to the different surgical methods. The observation group underwent thebreast conserving therapy,while the control group patients used themodified radical surgery. Besides,all patients were given the adjuvant therapy after the surgery.The clinical effects and 5-year survival rate of the surgery of the two groups were compared. Results： The average operation time,intraoperative blood loss and postoperative hospital stay,postoperative incision satisfaction,and the incidence rates of all kinds of adverse reactions of the observation group were lower than those of the control group,and the differences were statistically significant（ P〈0.05）. The difference in the 5-year survival rate between the two groups was not statistically significant（ P〉0.05）. Conclusions： The breast conserving therapy in the treatment of early breast cancercan greatly alleviate the pain of the patients and improve their quality of life.

关 键 词：早期乳腺癌 保留乳腺 乳腺改良根治术 

分 类 号：R737.9[医药卫生—肿瘤]