保乳与改良根治手术治疗乳腺癌的效果比较  

Effect comparison of breast-conserving and modified radical surgery in the treatment of breast cancer

作　　者：赵胤铭 ZHAO Yin-ming(Department of General Surgery,Beijing Jingmei Group General Hospital,Beijing102300,China)

机构地区：[1]北京京煤集团总医院普外科,北京102300

出　　处：《中国当代医药》2021年第29期108-110,共3页China Modern Medicine

摘　　要：目的探讨保乳与改良根治手术治疗乳腺癌的效果及对生活质量的影响。方法回顾性选取2018年1月至2020年1月北京京煤集团总医院收治的100例乳腺癌患者作为研究对象,按照手术方法的不同分为对照组(50例)与干预组(50例)。对照组采用改良根治手术方法,干预组采用保乳手术方法。比较两组的手术指标(术中出血量、切口长度、手术时间、住院时间)、美容效果、术后生存率、复发率以及生活质量情况。结果干预组的术中出血量少于对照组,切口长度、手术时间、住院时间短于对照组,差异有统计学意义(P<0.05);干预组手术美容的优良率高于对照组,差异有统计学意义(P<0.05);术后随访1年,两组均无复发病例且所有患者生存;干预组的生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论乳腺癌患者应用保乳与改良根治手术进行治疗的效果确切,无明显差异,保乳手术利于患者的乳房美容,能够缓解其生理、心理方面的不适,提升其生活质量,值得推广应用。Objective To investigate the effect of breast-conserving and modified radical surgery in the treatment of breast cancer and its influence on the quality of life.Methods From January 2018 to January 2020,a total of 100 patients with breast cancer admitted to Beijing Jingmei Group General Hospital were retrospectively selected as the research objects,and they were divided into the control group(50 cases)and the intervention group(50 cases)according to different surgical methods.The control group adopted the breast-conserving surgery method,and the intervention group adopted the modified radical surgery method.The surgical indicators(intraoperative blood loss,incision length,operation time,hospital stay),cosmetic effect,postoperative survival rate,the recurrence rate and the quality of life between the two groups were compared.Results The amount of intraoperative blood loss in the intervention group was less than that in the control group,and the incision length,operation time,and hospital stay in the intervention group were shorter than those in the control group,the differences were statistically significant(P<0.05).The excellent and good rate of surgical beauty in the intervention group was higher than that of the control group,the difference was statistically significant(P<0.05).After 1 year of follow-up,there were no recurrences in the two groups and all patients survived.The quality of life score of the intervention group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Breast-conserving surgery and modified radical mastectomy are effective in treating breast cancer,and there is no significant difference.Breast-conserving surgery is beneficial to the breast beauty of patients,relieves their physical and psychological discomfort,and improves their quality of life.It is worthy of popularization and application.

关 键 词：保乳 改良根治手术 乳腺癌 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]