分析保乳手术与改良根治手术治疗早期乳腺癌的临床疗效对比  

Analysis and Comparison of Clinical Effect of Breast Conserving Surgery and Modified Radical Mastectomy in Treatment of Early Breast Cancer

作　　者：严婕[1] 胡雄强[1] YAN Jie;HU Xiongqiang(Department of Breast and Thyroid Surgery,The First People's Hospital of Chenzhou City,Hu'nan Province,Chenzhou Hu'nan 423000,China)

机构地区：[1]湖南省郴州市第一人民医院乳腺甲状腺外科,湖南郴州423000

出　　处：《中国卫生标准管理》2021年第12期70-72,共3页China Health Standard Management

摘　　要：目的对比早期乳腺癌手术治疗中分别应用保乳或乳房切除手术的临床疗效。方法选择本院2018年1—12月期间乳腺外科的84例早期乳腺癌患者,按照自愿原则分为两组,对照组(36例)行乳房单纯切除+前哨淋巴结活检,观察组(48例)行保乳手术+前哨淋巴结活检,分析两组患者的临床疗效及生活质量。结果观察组的生活质量各项评分明显高于对照组(P <0.05)。观察组的术后6个月、9个月、12个月PFS、IDFS与对照组差异较小(P> 0.05)。结论保乳术与乳房切除术的复发率与治疗率相当,但保乳术可以减小创伤面积,改善乳腺癌患者的生活质量,适用范围更广泛。Objective To compare the clinical effect of breast conserving surgery and modified radical mastectomy in treatment of early breast cancer.Methods 84 cases of patients with early breast cancer and who treated in our hospital of Department of Breast surgery from January to December 2018 were selected,and the patients were divided into two groups:the control group(36 cases)underwent modified radical mastectomy(simple mastectomy+sentinel lymph node biopsy),and the observation group(48 cases)underwent breast conserving surgery and sentinel lymph node biopsy.Then,the clinical effect and quality of life of two groups of patients were analyzed.Results The scores of quality of life in the observation group were significantly higher than those in the control group(P<0.05).Compared with control group,the difference of PFS and IDFS in the observation group after operation for 6 months,9 months and 12 months was small(P>0.05).Conclusion The recurrence rate of breast conserving surgery and mastectomy is similar to that of treatment,but the breast conserving surgery can reduce the trauma area,and can improve the quality of life of breast cancer patients,thus the application scope is wider.

关 键 词：保乳手术 乳房切除术 早期乳腺癌 生活质量 PFS IDFS 

分 类 号：R615[医药卫生—外科学]