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早期乳腺癌保乳手术治疗90例临床观察
引用本文:卢振铎,刘真真,乔江华,焦得闯. 早期乳腺癌保乳手术治疗90例临床观察[J]. 现代预防医学, 2011, 38(23): 4855-4857
作者姓名:卢振铎  刘真真  乔江华  焦得闯
作者单位:河南省肿瘤医院乳腺科,郑州,450003
摘    要:
[目的]回顾分析早期乳腺癌保留乳房手术治疗的临床效果,评价保乳术后改良放疗对远期疗效的影响.[方法] 2004年1月~2006年1月就诊的90例早期乳腺癌患者,单盲随机将接受改良放疗保乳术治疗的49例患者分为改良组,其余41例分为对照组.X2检验对照分析术后患者对乳房美容效果评价结果、术后复发及转移结果和放疗不良反应结果. [结果]两组患者对乳房美容效果评价结果对照分析显示差异无统计学意义(P>0.05).改良组放射性皮炎高于对照组,差异有统计学意义(P<0.01).两组患者局部复发率及淋巴结复发率对照分析显示差异无统计学意义(P>0.05),而远处转移率差异有统计学意义(P<0.01).而血小板下降及白细胞下降等毒性反应差异无统计学意义(P>0.05).[结论]保乳术后改良放疗可有效降低远处转移率,提高患者生活质量,可在临床中推广,以进一步提高患者术后的生存率.

关 键 词:早期乳腺癌  保乳手术  改良放疗

CLINICAL OBSERVATION OF EARLY BREAST CANCER TREATMENT IN THE 90 PATIENTS WITH BREAST CONSERVATION SURGERY
LU Zhen-duo,LIU Zhen-zhen,QIAO Jiang-hua,et al.. CLINICAL OBSERVATION OF EARLY BREAST CANCER TREATMENT IN THE 90 PATIENTS WITH BREAST CONSERVATION SURGERY[J]. Modern Preventive Medicine, 2011, 38(23): 4855-4857
Authors:LU Zhen-duo  LIU Zhen-zhen  QIAO Jiang-hua  et al.
Affiliation:LU Zhen-duo,LIU Zhen-zhen,QIAO Jiang-hua,et al.(Breast Department,Henan Province Tumor Hospital,Zhengzhou 450003,China)
Abstract:
[Objective]To discuss the clinical effect of breast-conserving surgery for early breast cancer,evaluate long-term effect of improved radiotherapy after breast-conserving surgery.[Methods]Devised a new program used in radiotherapy after breast-conserving surgery,improve single radiation dose when postoperative radiotherapy,but shorten the cycle of radiotherapy.Among the 90 patients,49 patients received improved radiotherapy after breast-conserving surgery while the remaining 41 patients received conventional...
Keywords:Early breast cancer  Breast conservation surgery  Improved radiotherapy  
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