摘要
【摘要】 目的 综合分析早期乳腺癌保乳手术及改良根治术的临床疗效。方法 96例早期乳腺癌患者， 按照术式的不同分为实验组与对照组， 每组 48例。实验组患者行保乳术治疗， 对照组患者行改良根治术治疗。对两组患者的临床指标及并发症发生情况进行对比。结果 实验组患者的术中出血量（ 16.5±2.2） ml、手术时间（ 114.3±21.2） min、引流量（ 287.6±37.7） ml、住院时间（ 9.7±3.2） d均明显优于对照组的（ 48.1±2.0） ml、（ 156.2±22.7） min、（ 566.9±46.8） ml、（ 13.5±2.8） d， 差异具有统计学意义（ P<0.05）。实验组患者的并发症发生率 2.1%明显低于对照组的 14.6%， 差异具有统计学意义（ P<0.05）。结论 早期乳腺癌患者应用保乳手术的临床疗效显著， 不仅各项手术指标优于改良根治术， 且并发症的发生风险也低于改良根治术， 值得临床推广及应用。
【关键词】 改良根治术；乳腺癌保乳手术；生活质量评分；临床效果
[Abstract] Objective To analyze the clinical effect of breast conserving operation and modified radical operation for early breast cancer. Methods 96 patients with early stage breast cancer were divided into experimental group and control group according to different operation methods, 48 cases in each group. The patients in the experimental group were treated with breast conserving operation, while the patients in the control group were treated with modified radical operation. The clinical indexes and complications of the two groups were compared. Results the bleeding volume (16.5 ± 2.2) ml, operation time (114.3 ± 21.2) min, induced flow (287.6 ± 37.7) ml and hospitalization time (9.7 ± 3.2) d in the experimental group were significantly better than those in the control group (48.1 ± 2.0) ml, (156.2 ± 22.7) min, (566.9 ± 46.8) ml, (13.5 ± 2.8) d, the difference was statistically significant (P < 0.05). The incidence of complications in the experimental group was 2.1%, which was significantly lower than that in the control group (14.6%) (P < 0.05). Conclusion the clinical effect of breast conserving surgery in early breast cancer patients is significant, not only the operation index is better than the modified radical surgery, but also the risk of complications is lower than the modified radical surgery, which is worthy of clinical promotion and application.
出版日期
2020年09月14日（中国期刊网平台首次上网日期，不代表论文的发表时间）
