首页|保乳手术与乳腺癌改良根治术治疗早期乳腺癌的临床对照研究

保乳手术与乳腺癌改良根治术治疗早期乳腺癌的临床对照研究

扫码查看
目的 探讨保乳手术与乳腺癌改良根治术治疗早期乳腺癌的临床效果.方法 随机将120例早期乳腺癌患者分为对照组(改良根治术)与观察组(保乳手术),每组60例,观察2组的手术相关指标、乳房外观、心理弹性、生活质量和并发症发生情况.结果 观察组手术时间、住院时间较对照组更短,术中出血量、术后引流量较对照组更少(P<0.05).观察组乳房外观优良率(95.00%)明显高于对照组(68.33%)(P<0.05).术后观察组的坚韧性、自强性、乐观性评分明显高于对照组(P<0.05);观察组术后生理状况、社会状况、情感状况、功能状况、附件关注和生命质量总分均比对照组高(P<0.05).并发症发生率比较,观察组(3.33%)明显低于对照组(15.00%)(P<0.05).观察组与对照组生存率(98.33%vs.93.33%)、复发率(1.67%vs.5.00%)、远处转移率(1.67%vs.3.33%)比较,无统计学差异(P>0.05).结论 保乳手术与改良根治术在早期乳腺癌治疗中均具有一定价值,但保乳手术安全性较高,患者术后的心理压力更轻,有利于加快患者的术后恢复,提升患者的生活质量.
Clinical Comparative Study of Breast Conserving Surgery and Modified Radical Mastectomy for Early Breast Cancer
Objective To explore the clinical effect of breast conserving surgery and modified radical surgery for breast cancer in the treatment of early breast cancer.Methods 120 patients with early breast cancer were randomly divided into the control group(modified radical mastectomy)and the observation group(breast conserving surgery),with 60 cases in each group.The operation related indexes,breast appearance,psychological elasticity,quality of life and complications of the two groups were observed.Results The observation group had shorter surgical time and hospital stay compared to the control group,with less intr-aoperative bleeding and postoperative drainage volume compared to the control group(P<0.05).The excellent rate of breast ap-pearance in the observation group(95.00%)was significantly higher than that in the control group(68.33%)(P<0.05).Com-pared with the control group,the postoperative observation group had significantly higher scores of resilience,self-improvement,and optimism(P<0.05);The postoperative physiological,social,emotional,functional,attachment attention,and overall quality of life scores of the observation group were higher than those of the control group(P<0.05).The incidence of complications in the observation group(3.33%)was significantly lower than that in the control group(15.00%)(P<0.05).There was no statistical-ly significant difference in survival rate(98.33%vs.93.33%),recurrence rate(1.67%vs.5.00%),and distant metastasis rate(1.67%vs.3.33%)between the observation group and the control group(P>0.05).Conclusion Breast conserving surgery and modified radical mastectomy have certain value in the treatment of early breast cancer,but breast conserving surgery is safer,patients have less psychological pressure after surgery,which is conducive to accelerating postoperative recovery and improving the quality of life of patients.

Early breast cancerBreast-conserving surgeryModified radical resection

焦晶茹、梁天嵩、许新梅

展开 >

450000 郑州大学第一附属医院

早期乳腺癌 保乳手术 改良根治术

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(7)