摘要
目的对比改良根治术与单纯乳房切除术在老年早期乳腺癌患者中的临床效果。方法回顾性分析86例老年乳腺癌患者,其中42例行改良根治术者设为观察组,44例行单纯乳房切除术者设为对照组。比较两组的术中、术后相关指标以及5年死亡率。结果两组的手术时间比较无统计学差异(P>0.05),观察组的术中出血量、住院时间以及并发症发生率均显著少于对照组(P<0.05)。两组的Ⅰ、Ⅱ期患者5年死亡率比较无统计学差异(P>0.05);观察组患者的总死亡率为7.14%,对照组为15.91%,组间差异无统计学意义(P>0.05)。结论改良根治术可有效治疗老年乳腺癌,可减少手术创伤,促进患者的术后恢复。
Objective To compare the clinical effects of modified radical mastectomy and total mastectomy for the treatment of elderly patients with breast cancer. Methods A total of 86 elderly patients with breast cancer were analyzed retrospectively. 42 patients with modified radical mastectomy were set as the observation group, while 44 patients with total mastectomy were set as the control group. The intra-operative and postoperative indicators and 5-year mortality rate were compared between two groups. Results No statistical difference was found between two groups in the operation time （P〉0.05）. The intra-operative blood loss and incidence of complications of observation group were significantly lower than those of control group, and the length of hospital stay was significantly shorter than that of control group （P〈0.05）. The 5-year mortality rates of stage [ patients and stage H patients between two groups had no statistical difference （P〉0.05）; The total 5-year mortality rate was 7.14% in observation group, and 15.91% of control group, with no statistical difference （P 〉0.05）. Conclusions Modified radical mastectomy is effective for the treatment of elderly patients with breast cancer, which can reduce the surgical trauma, and promote patients＇ postoperative recovery.
出处
《临床医学工程》
2016年第5期639-640,共2页
Clinical Medicine & Engineering
关键词
改良根治术
单纯乳房切除术
乳腺癌
疗效
Modified radical mastectomy
Total mastectomy
Breast cancer
Efficacy
