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目的研究保乳联合前哨淋巴结活检术对乳腺癌的治疗价值。方法 83例乳腺癌患者,随机分为传统组(41例)和研究组(42例)。传统组行传统全乳切除手术联合腋窝淋巴结清扫,研究组行保乳联合前哨淋巴结活检术。比较两组患者乳房美容效果优良率、术后远处转移率、局部复发率、并发症率、3年生存率,以及手术操作时间、平均失血量、引流量、拔管时间的差异。结果研究组乳房美容效果优良率为95.24%,高于传统组的75.61%(P<0.05),研究组并发症发生率为2.38%,低于传统组的34.15%(P<0.05);两组患者远处转移率、局部复发率、3年生存率比较差异无统计学意义(P>0.05);研究组较传统组手术操作时间、失血量、引流量、拔管时间明显更少(P<0.05)。结论保乳联合前哨淋巴结活检术对乳腺癌的治疗价值高,手术简便,创伤低,出血少,引流量少,可缩短拔管时间,减少并发症的发生,提高美容效果,值得推广。
Objective To investigate the value of breast-conserving combined with sentinel lymph node biopsy in the treatment of breast cancer. Methods 83 cases of breast cancer were randomly divided into the traditional group (41 cases) and the study group (42 cases). The traditional group of traditional total hip resection combined with axillary lymph node dissection, the study group breast conserving joint sentinel lymph node biopsy. The excellent rate of breast cosmetic effect, distant metastasis rate, local recurrence rate, complication rate, 3-year survival rate, operation time, mean blood loss, drainage and extubation time were compared between the two groups. Results The excellent and good rate of breast cosmetic effect was 95.24% in the study group, which was 75.61% higher than that in the traditional group (P <0.05). The complication rate was 2.38% in the study group, which was 34.15% less than the traditional group (P <0.05) There was no significant difference in distant metastasis rate, local recurrence rate and 3-year survival rate between the two groups (P> 0.05). The operation time, blood loss, drainage and extubation time of the study group were significantly less than those of the traditional group (P < 0.05). Conclusions Breast-conserving combined with sentinel lymph node biopsy has high value for the treatment of breast cancer. It has the advantages of simple operation, low trauma, less bleeding and less drainage. It can shorten the extubation time and reduce the occurrence of complications, which is worth to be popularized.