首页|乳腺癌改良根治术治疗乳腺癌的疗效及对激素水平的影响

乳腺癌改良根治术治疗乳腺癌的疗效及对激素水平的影响

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目的 探讨乳腺癌改良根治术对乳腺癌患者激素水平的影响.方法 选取2020年1月—2021年12月江苏省连云港市赣榆区人民医院收治的100例乳腺癌患者为研究对象,根据信封法随机分成两组,每组50例.对照组行患侧乳腺切除术与前哨淋巴结活检术,观察组行乳腺癌改良根治术.对比两组患者手术相关指标、术后并发症(皮下积液、上肢水肿、皮瓣坏死)发生情况,随访1年后对比两组患者激素水平与复发情况.结果 观察组手术时间长于对照组,差异有统计学意义(P<0.05).两组术后并发症发生率和1年内的复发率对比,差异无统计学意义(P均>0.05).观察组术后1年游离三碘甲腺原氨酸水平(4.47±1.60)pmol/L、血清游离甲状腺素(16.33±6.09)pmol/L高于对照组的(2.70±1.23)、(12.50±2.46)pmol/L,差异有统计学意义(t=6.202、4.123,P均<0.05).结论 乳腺癌改良根治术对乳腺癌患者的治疗作用突出,可提高患者术后激素水平,安全性较高.
Effect of Modified Radical Mastectomy on Breast Cancer and Its Effect on Hormone Levels
Objective To explore the effect of modified radical mastectomy on hormone levels of breast cancer.Meth-ods A total of 100 patients with breast cancer admitted to Ganyu District People's Hospital of Lianyungang in Jiangsu Province from January 2020 to December 2021 were selected as the study objects.They were randomly divided into two groups according to envelope method,with 50 cases in each group.The control group underwent ipsilateral mastec-tomy and sentinel lymph node biopsy,and the observation group underwent modified radical mastectomy.The opera-tion related indexes and incidence of postoperative complications(subcutaneous effusion,upper limb edema,flap ne-crosis)were compared between the two groups.After 1 year of follow-up the hormone levels and incidence of recur-rence of the two groups were compared.Results The operation time of observation group was longer than that of con-trol group,the difference was statistically significant(P<0.05).There were no statistically significant differences in the incidence of postoperative complications and recurrence in the two groups(both P>0.05).The levels of serum free tri-iodothyronine(4.47±1.60)pmol/L and free thyroxine(16.33±6.09)pmol/L in the observation group were higher than those in the control group(2.70±1.23)pmol/L and(12.50±2.46)pmol/L 1 year after operation,the differences were sta-tistically significant(t=6.202,4.123,both P<0.05).Conclusion Modified radical mastectomy has a prominent thera-peutic effect on breast cancer patients,it can improve the level of postoperative hormones,and has high safety.

Breast cancerModified radical operationHormonesSurgical indexComplicationsRecurrence rate

吴茂谦

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江苏省连云港市赣榆区人民医院普外科,江苏连云港 222100

乳腺癌 改良根治术 激素 手术指标 并发症 复发率

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(8)