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目的探讨保乳手术治疗早期乳腺癌的临床疗效。方法选取2008年6月～2010年6月本院收治入院的早期乳腺癌患者42例,将其分为观察组和对照组各21例,观察组施行保乳手术,对照组施行保留胸大肌的乳腺癌改良根治术,术后观察两组的治疗效果。结果两组患者均顺利完成手术,随访1～2年,均未出现局部复发或远处转移,未见皮下积液、皮下出血及皮瓣坏死等。观察组平均手术时间及术中出血量均优于对照组,两组比较差异有统计学意义(P<0.05)。对术后1年以上的患者进行乳房外形评估,观察组优良率为90.48%,对照组为71.43%,两组比较,差异有统计学意义(P<0.05)。结论对早期乳腺癌患者施行保乳手术加综合治疗,创伤小,美观效果好,提高了患者的生活质量,是早期乳腺癌患者的首选手术方式。
Objective To investigate the clinical efficacy of breast-conserving surgery for early breast cancer. Methods Forty-two patients with early-stage breast cancer admitted to our hospital from June 2008 to June 2010 were divided into observation group (21 cases) and control group (21 cases). The observation group received breast-conserving surgery while the control group Of the modified radical mastectomy, postoperative observation of the two groups of treatment. Results The two groups of patients were successfully completed the operation, followed up for 1 to 2 years, no local recurrence or distant metastasis, no subcutaneous effusion, subcutaneous hemorrhage and flap necrosis. The average operation time and intraoperative blood loss of the observation group were better than the control group, the difference between the two groups was statistically significant (P <0.05). The breast shape was evaluated in patients with more than one year after surgery. The excellent and good rate in the observation group was 90.48% and in the control group was 71.43%. There was significant difference between the two groups (P <0.05). Conclusion The application of breast-conserving surgery combined with comprehensive treatment in patients with early-stage breast cancer has the advantages of less trauma and better aesthetic appearance, and improves the quality of life of patients. It is the first choice for patients with breast cancer.