乳腺区段切除联合腋淋巴结清扫术治疗老年Ⅰ/Ⅱ期乳腺癌的临床效果  

Clinical curative effect of segmental mastectomy combined with axillary lymph node dissection on stage I/II breast cancer in the elderly

作　　者：侯佩 HOU Pei(Thyroid and Breast Surgery, The Second People's Hospital of Jiaozuo, Henan 454000,China)

机构地区：[1]河南省焦作市第二人民医院甲状腺乳腺外科一区,454000

出　　处：《淮海医药》2020年第2期123-125,128,共4页Journal of Huaihai Medicine

摘　　要：目的:探讨乳腺区段切除联合腋淋巴结清扫术治疗老年I/II期乳腺癌的临床效果。方法:收集某院进行手术治疗的80例老年Ⅰ/Ⅱ期乳腺癌患者临床资料,依据手术治疗方式分为乳腺癌根治术组(根治术组)、乳腺区段切除联合腋淋巴结清扫术组(切除清扫术组),比较2组患者手术情况、术后并发症、复发、转移以及随访1年情况。结果:切除清扫术组术中出血量、切口长度、手术时间、住院时间均明显低于根治术组(P<0.05);2组患者术后皮下积液、皮下出血、上肢肿胀、感染发生率比较,差异无统计学意义(P>0.05);2组患者术后1年存活率、复发率、转移率比较,差异无统计学意义(P>0.05);切除清扫术组术后1年躯体疼痛、生理职能、社会功能、生命活力、情感职能以及精神健康评分高于根治术组(P<0.05)。结论:乳腺区段切除联合腋淋巴结清扫术可减少老年I/II期乳腺癌患者术中出血量、手术时间,提高患者术后生活质量。Objective:To explore clinical curative effect of segmental mastectomy and axillary lymph node dissection on stageⅠ/Ⅱbreast cancer in the elderly.Methods:Clinical data of 80 elderly patients with stageⅠ/Ⅱbreast cancer were collected and,according to different surgical treatment methods,were divided into a radical mastectomy group(radical surgery group)and a segmental mastectomy combined with axillary lymph node dissection group(resection-dissection group).The intraoperative situation,postoperative complications,recurrence,metastasis and conditions after one year of follow-up were compared between the two groups.Results:The intraoperative blood loss,incision length,operation time and hospitalization time in the resection-dissection group were significantly lower than those in the radical surgery group(P<0.05).There was no significant difference in terms of incidence of postoperative subcutaneous hydrops,subcutaneous bleeding,upper limb swelling and infection between the two groups(P>0.05).One year after the surgery,there was no significant difference in survival rate,recurrence rate or metastasis rate between the two groups(P>0.05).One year after,in comparison,the scores of physical pain,physiological role,social function,vitality,emotional role and mental health in resection-dissection group were higher than those in the radical surgery group(P<0.05).Conclusion:Segmental mastectomy combined with axillary lymph node dissection can decrease intraoperative blood loss and operation time in elderly patients with stage I/II breast cancer,and thus improve their postoperative quality of life.

关 键 词：乳腺肿瘤 乳腺区段切除 腋淋巴结清扫术 

分 类 号：R737.9[医药卫生—肿瘤]