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目的探讨肿瘤局部扩大切除术(保乳手术)治疗临床Ⅰ、Ⅱ期乳腺癌的效果。方法选择2010年1月—2011年1月收治的56例临床I、II期乳腺癌患者为观察对象。按手术方式分为两组,每组28例。观察组行保乳手术,对照组行保留胸大、小肌的改良根治术。术后两组患者均接受4~6个疗程的化疗。随访3~5年,比较两组的治疗效果。结果两组患者术后3、5年存活率及局部复发率差异无统计学意义,观察组患者对乳房美观满意度明显高于对照组。结论对于临床Ⅰ、Ⅱ期乳腺癌患者实施保乳手术,不仅远期疗效良好,而且确保了患者的健全身材,美学效果满意。但必须严格掌握手术适应证并规范进行手术操作和术后辅助治疗。
Objective To investigate the effect of locally extended resection (breast conserving surgery) on clinical stage Ⅰ and Ⅱ breast cancer. Methods From January 2010 to January 2011, 56 patients with clinical stage I and II breast cancer were selected as the observation subjects. According to surgical methods are divided into two groups, 28 cases in each group. Observation group line breast conserving surgery, the control group retained thoracic, small muscle modified radical mastectomy. Two groups of patients received 4 to 6 courses of chemotherapy after surgery. Follow-up 3 to 5 years, the treatment effect of two groups were compared. Results There was no significant difference in the survival rates at 3 to 5 years and the local recurrence rate between the two groups. Satisfaction of the observation group with breast aesthetics was significantly higher than that of the control group. Conclusion The implementation of breast conserving surgery for patients with stage Ⅰ and Ⅱ breast cancer not only has good long-term curative effect, but also ensures the patient’s healthy body and aesthetics. But we must strictly grasp the surgical indications and regulate the operation and postoperative adjuvant therapy.