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目的对比早期保乳手术与改良根治术治疗早期乳腺癌的临床疗效。方法选取31例在我院行保乳手术治疗的乳腺癌患者为观察组,另选择同期于我院行改良根治术治疗的乳腺癌患者30例为对照组,观察比较两组患者的临床疗效。结果与对照组比较,观察组手术时间、切口长度及术中出血量、住院时间明显减少(P<0.05),但术后并发症、生存率以及转移、复发率方面比较,差异无统计学意义(P>0.05)。结论保乳手术对于早期乳腺癌患者是一种理想术式,具有手术创伤小、术后恢复快、并发症少的特点,且保留了患者的乳房,增加了美容效果,值得临床应用。
Objective To compare the clinical efficacy of early breast conserving surgery and modified radical mastectomy for early breast cancer. Methods Thirty-one breast cancer patients undergoing breast-conserving surgery in our hospital were selected as the observation group. Thirty patients with breast cancer who underwent modified radical mastectomy at the same period were selected as the control group. The clinical efficacy was compared between the two groups. Results Compared with the control group, the operation time, incision length, intraoperative blood loss and hospitalization time in the observation group were significantly decreased (P <0.05), but there was no significant difference in postoperative complications, survival rate, metastasis and recurrence rate (P> 0.05). CONCLUSION: Breast-conserving surgery is an ideal surgical procedure for patients with early-stage breast cancer. It has the advantages of less surgical trauma, faster recovery and fewer complications. It also retains the patient’s breast and increases the cosmetic effect, which is worthy of clinical application.