摘要
目的 分析乳腺癌者临床行改良根治术、传统根治术的疗效差异。方法 方便选取2010年7月-2015年9月期间47例早期乳腺癌者为研究对象,按治疗小组不同分组,对照组共23例(行传统根治术治疗)、观察组共24例(行改良根治术治疗),比较两组手术时间、淋巴结清扫数目及住院时间、生活质量评分情况,观察患者术后半年胸部外观程度,统计术后并发症发生,随访3年记录期间患者复发及无瘤生存期。结果 观察组远处转移率为8.33%、局部复发率4.17%与对照组4.35%、0.00%比较,远期转移差异无统计学意义(χ^2=1.333,P>0.05),对照组局部复发率较低,差异有统计学意义(χ^2=4.259,P<0.05),观察组术后并发症发生率12.50%低于对照组30.43%,差异有统计学意义(χ^2=9.535,P<0.05);观察组住院时间(10.80±1.64)d少于对照组(14.06±1.73)d,生活质量评分(87.46±3.12)分高于对照组(78.21±3.05),(t=6.632、10.272,P<0.05);两组手术时间、淋巴结结清扫数目比较差异无统计学意义(t=0.731,1.016,P>0.05);观察组胸部外观优良率91.67%高于对照组73.91%,差异有统计学意义(χ^2=11.069,P<0.05)。结论 随着临床乳腺癌患者对术胸部外观方面要求提高,改良根治术用于疾病治疗,术中手术时间无明显延长,淋巴结清扫无明显减少,患者术后恢复快、无肩关节功能影响、生活质量改善,术后远期转移、局部复发率较低,术后并发症少,可推广应用。
Objective To analyze the difference in curative effect between modified radical mastectomy and traditional radical mastectomy in patients with breast cancer.Methods Convenient select 47 patients with early breast cancer from 2010.7 to 2015.9 were enrolled in the study.According to the different treatment methods,23 patients in the control group(traditional radical surgery)and 24 patients in the observation group(modified radical mastectomy)were compared.The operation time,the number of lymph node dissection,the length of hospital stay,and the quality of life score were observed.The degree of chest appearance in the postoperative period was observed.The postoperative complications were counted.The patients had recurrence and tumor-free survival during the 3-year follow-up period.Results The distant metastasis rate of the observation group was 8.33%,the local recurrence rate was 4.17%compared with the control group of 4.35%and 0.00%.The difference was not statistically significant(χ^2=1.333,P>0.05),and the local recurrence rate of the control group was lower,the difference was statistically significant(χ^2=4.259,P<0.05),the postoperative complication rate of the observation group was 12.50%lower than that of the control group 30.43%,the difference was statistically significant(χ^2=9.535,P<0.05);the observation group(10.80±1.64)d was less than the control group(14.06±1.73)d,the quality of life score(87.46±3.12)points was higher than that of the control group(78.21±3.05)points,the difference was statistically significant(t=6.632,10.272,P<0.05).The operation time and lymph node dissection were compared between the two groups.The difference was not statistically significant(t=0.731,1.016,P>0.05);the excellent appearance rate of the chest in the observation group was 91.67%higher than that in the control group 73.91%,the difference was statistically significant(χ^2=11.069,P<0.05).Conclusion With the improvement of the appearance of breast in patients with clinical breast cancer,modified radical mastectomy for di
作者
陈进
CHEN Jin(Department of General Surgery,Jiangsu Rugao Motou Hospital,Rugao,Jiangsu Province,226551 China)
出处
《中外医疗》
2019年第29期24-27,共4页
China & Foreign Medical Treatment
关键词
乳腺癌
疗效
根治术
改良
Breast cancer
Curative effect
Radical surgery
Improvement
