摘要
目的:与改良根治术比较,探索保乳手术对早期乳腺癌的临床疗效。方法:对宝鸡市人民医院自2006年1月至2010年12月50例早期乳腺癌患者进行回顾性分析,实施保乳手术25例,改良根治手术25例,对两组患者的临床资料进行研究,对比术中出血量、手术时间、术后住院天数、美容效果、术后并发症及无进展生存率。结果:保乳手术组在术后住院天数、手术时间、术中出血量、美容效果方面均明显优于改良根治手术组(P<0.01),两组患者在术后并发症方面的差异无统计学意义(P>0.05)。两组患者的中位随访时间均为24.5个月,术后复发转移率相同,2年无进展生存率也均为92%(P>0.05)。结论:保乳手术创伤小、恢复快,且并未影响早期乳腺癌患者的治疗效果,更为重要的是保乳手术为患者提供了更为理想的美容效果。
Objective：To compare the clinical efficacy of modified radical mastectomy with breast conserving sur- gery. Methods：From January 2006 to December 2010, a retrospective analysis of 50 patients with early stage breast cancer（25 patients with breast conserving surgery, group A ;25 patients with modified radical mastectomy, group B） was conducted. Results： The operative time, blood loss, cosmetic satisfaction, postoperative hospital stay had significant difference between breast conserving surgery group and modified radical mastectomy group （P 〈 0.01 ）. The significant difference in the postoperational complications incidence was not found between two groups （ P 〉 0.05 ）. The median follow - up time of both groups was 24.5 months. The 2 - year progression - free survivals of two groups were 92% and 92% , respectively. Conclusion：Breast conserving surgery of early stage breast cancer is safe and reliable, in par- ticular for postoperative aesthetic outcomes.
出处
《现代肿瘤医学》
CAS
2013年第3期565-567,共3页
Journal of Modern Oncology
关键词
早期乳腺癌
保乳手术
改良根治手术
early stage breast cancer
breast conserving surgery
modified radical mastectomy
