改良根治术与保乳手术治疗早期乳腺癌的疗效及术后并发症观察  

Observation on efficacy and postoperative complications of modified radical mastectomy and breast-conserving surgery for early breast cancer

作　　者：巩海洋 刘潇 李朝战[1] GONG Hai-yang;LIU Xiao;LI Chao-zhan(Breast and Thyroid Surgery Department,Zaozhuang Municipal Hospital,Zaozhuang 277100,China)

机构地区：[1]枣庄市立医院乳腺甲状腺外科,277100

出　　处：《中国实用医药》2024年第3期37-40,共4页China Practical Medicine

摘　　要：目的探讨改良根治术与保乳手术治疗早期乳腺癌的疗效及术后并发症情况。方法78例早期乳腺癌患者,按手术方法的不同分为对照组与观察组,每组39例。对照组使用改良根治术进行治疗,观察组使用保乳手术进行治疗。比较两组手术指标、并发症发生情况、复发情况、乳房美容效果、生活质量。结果观察组术中出血量(268.45±32.16)ml、术后引流量(170.95±28.37)ml均少于对照组的(433.54±50.27)、(382.62±52.08)ml,手术时间(162.31±23.05)min、住院时间(12.13±2.65)d均短于对照组的(221.47±29.26)min、(15.48±3.16)d(P<0.05)。观察组并发症发生率7.69%明显低于对照组的38.46%(P<0.05);观察组1年复发率与对照组相当(P>0.05)。观察组乳房美容优良率94.87%明显高于对照组的74.36%(P<0.05)。术后6个月,观察组生理状况、功能状况、社会状况、情感状况、附加关注、睡眠状况、依从状况评分均高于对照组(P<0.05)。结论改良根治术与保乳手术对早期乳腺癌的根治效果相当,但保乳手术创伤更小,术后并发症发生率低,美容效果好,能更好的提升生活质量。Objective To explore the efficacy and postoperative complications of modified radical mastectomy and breast-conserving surgery for early breast cancer.Methods 78 cases of early breast cancer patients were divided into a control group and an observation group according to different surgical methods,with 39 cases in each group.The control group was treated with modified radical mastectomy,and the observation group was treated with breast-conserving surgery.The operation indexes,complications and recurrence,breast cosmetic effect and quality of life of the two groups were compared.Results The intraoperative blood loss of(268.45±32.16)ml and postoperative drainage volume of(170.95±28.37)ml in the observation group were lower than(433.54±50.27)and(382.62±52.08)ml in the control group;and the operation time of(162.31±23.05)min and hospital stay of(12.13±2.65)d in the observation group were shorter than(221.47±29.26)min and(15.48±3.16)d in the control group(P<0.05).The incidence of complications of 7.69%in the observation group was significantly lower than 38.46%in the control group(P<0.05).The recurrence rate within 1 year was comparable with that in the control group(P>0.05).The excellent and good cosmetic rate of 94.87 in the observation group was significantly higher than 74.36%in the control group(P<0.05).At 6 months after surgery,the scores of physiological status,functional status,social status,emotional status,additional attention,sleep status and compliance status in the observation group were higher than those in the control group(P<0.05).Conclusion The curative effect of modified radical mastectomy and breast-conserving surgery on early breast cancer is equivalent,but the breast-conserving surgery has less trauma,low incidence of postoperative complications,good cosmetic effect,and can better improve the quality of life.

关 键 词：早期乳腺癌 改良根治术 保乳手术 术后并发症 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]