早期乳腺癌保乳手术40例临床疗效观察

目的：探讨早期乳腺癌行保乳手术的临床疗效。方法：选取80早期乳腺癌,根据不同手术方法,分为实验组（保乳手术）和对照组（改良根治术）,对比两组患者在手术时间、术中的出血量、住院时间、美容效果、手术并发症发病率及远处转移和局部复发情况。结果：实验组在手术时间、术中的出血量、住院时间、均明显低于对照组,美容效果优良率明显高于对照组,术后并发症发病率及远处转移和局部复发率与对照组比较差异无统计学意义。结论：保乳手术具有手术时间短,术后恢复快、美容效果好及能有效提高生活质量等优点,可以作为早期乳腺癌的首选术式。

Study on Effect of Breast-conserving Surgery in Treatment of 40 Patients with Early Breast Cancer

Objective： To explore the effect of breast-conserving surgery in treatment of patients with eraly breast cancer. Method： 80 cases with early breast cancer were divided into the ovservation group（ breast conserving operation） and control group（ modified radical mastectomy） according to the different operation methods,then compared patients of two groups in peration time,amount of hemorrhage during operation,hospitalization time,cosmetic results excellent rate,the incidengce rates of complications,post-operative focal recurrence rate,distant metastasis rate and three-year survival rate. Result： The operation time,amount of hemorrhage during operation,hospitalization time in observation group were statistically significantly lower than those in control group; Cosmetic results excellent rate of observation group was significantly higher than the control group; there was no statistically significant difference in the incidence rates of complications,post-operative focal recurrence rate,distant metastasis rate,three-year survival rate between observation group and control group. Conclusion： Breast-conserving surgery has the advantage of short operation time,fast,good cosmetic effect and high quality of life and so on,can be used as the first choice for early breast cancer.