首页|乳腺肿瘤整形保乳手术治疗乳腺癌的临床效果研究

乳腺肿瘤整形保乳手术治疗乳腺癌的临床效果研究

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目的 探究在乳腺癌患者的治疗中乳腺肿瘤整形保乳手术的临床应用效果.方法 106例乳腺癌患者,按入院顺序编号分组,奇数者划至对照组,偶数者划至研究组,各 53 例.对照组以改良根治术治疗,研究组以整形保乳手术治疗.比较两组临床手术指标、术后并发症发生情况、手术前后血清肿瘤标志物水平、乳房美观满意度.结果 研究组患者手术时间(129.74±10.65)min、术中失血量(64.29±9.31)ml、切口长度(4.64±1.19)cm、住院时间(4.88±1.10)d均优于对照组的(150.07±10.53)min、(86.71±10.29)ml、(10.48±3.74)cm、(5.92±1.21)d,组间比较统计学差异明显(P<0.05).研究组并发症发生率 5.66%低于对照组的 22.64%,组间比较统计学差异明显(P<0.05).两组术后癌抗原 153(CA153)和癌胚抗原(CEA)均低于术前,统计学差异明显(P<0.05).研究组患者对乳房美观的总满意度为 96.23%,高于对照组的 81.13%,组间比较统计学差异明显(P<0.05).结论 对于乳腺癌患者的手术治疗来说,乳腺肿瘤整形保乳手术的实施,可以在保证原有治疗效果的基础上,改善临床手术指标,减少术后并发症风险,同时满足患者在乳房美观度方面的要求,由此可见其良好的临床应用价值,因此可以于临床展开大力推广.
Study on the clinical effect of oncoplastic and breast-conserving surgery for breast cancer
Objective To explore the clinical effect of oncoplastic and breast-conserving surgery in the treatment of breast cancer patients.Methods 106 patients with breast cancer were divided into groups according to the order of admission,with odd numbers assigned to the control group and even numbers assigned to the study group,each with 53 cases.The control group was treated with modified radical surgery,while the study group was treated with oncoplastic and breast-conserving surgery.The clinical surgical indicators,postoperative complications,serum tumor markers before and after surgery,and satisfaction with breast aesthetics were compared between the two groups.Results In the study group,the operation time was(129.74±10.65)min,the intraoperative blood loss was(64.29±9.31)ml,the incision length was(4.64±1.19)cm,and the hospital stay was(4.88±1.10)d,which were better than(150.07±10.53)min,(86.71±10.29)ml,(10.48±3.74)cm,and(5.92±1.21)d in the control group,and the difference between groups was statistically significant(P<0.05).The complication rate of the study group was 5.66%,which was lower than 22.64%of the control group,and the difference between groups was statistically significant(P<0.05).The cancer antigen 153(CA153)and carcinoembryonic antigen(CEA)of the two groups after surgery were lower than those before surgery,and the difference was statistically significant(P<0.05).The total satisfaction of patients with breast aesthetics in the study group was 96.23%,which was higher than 81.13%in the control group,and the difference between groups was statistically significant(P<0.05).Conclusion For the surgical treatment of breast cancer patients,the implementation of oncoplastic and breast-conserving surgery can improve clinical surgical indicators,reduce the risk of postoperative complications on the basis of ensuring the original treatment effect,and meet the requirements of patients in terms of breast aesthetics,which demonstrates its good clinical value,and therefore,it can be vigorously promoted in the clinic.

Breast tumorsBreast cancerOncoplastic and breast-conserving surgeryClinical effects

王振龙、刘文志、叶明石

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130012 吉林省肿瘤医院乳腺外一科

乳腺肿瘤 乳腺癌 整形保乳手术 临床效果

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(7)
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