论文部分内容阅读
目的探讨保乳术治疗乳腺癌的近期疗效及安全性。方法选取2014年8月-2015年8月新矿集团中心医院进行保乳术治疗的45例乳腺癌患者为观察组;选取同期收治的42例进行改良根治术治疗的乳腺癌患者为对照组。比较两组患者的手术情况、治疗效果,并采用乳腺癌患者生命质量测定量表(FACT-B)评价患者的生活质量。结果观察组的手术时间、住院时间短于对照组,术中出血量、平均引流量少于对照组,差异有统计学意义(P<0.05)。观察组术后出血、积液、上肢水肿等发生率低于对照组,差异有统计学意义(P<0.05)。观察组术后美容效果的优良率为91.1%,高于对照组的23.8%,差异有统计学意义(P<0.05)。观察组术后3个月时的功能状况、情感状况、生理状况、社会/家庭情况、附加关注等生活质量高于对照组,差异有统计学意义(P<0.05)。结论保乳术治疗乳腺癌的创伤小、疗效好,缩短患者的住院时间,减少术后并发症,且美容效果好,术后生活质量高,值得推广。
Objective To investigate the short-term efficacy and safety of breast-conserving surgery in the treatment of breast cancer. Methods Forty-five breast cancer patients undergoing breast-conserving surgery from Xinluo Group Central Hospital from August 2014 to August 2015 were selected as the observation group. Forty-two breast cancer patients treated by modified radical mastectomy were selected as the control group. The operation and treatment effects were compared between the two groups. The quality of life of the patients was evaluated by FACT-B. Results The operation time and hospital stay in the observation group were shorter than those in the control group. The amount of bleeding and the average drainage in the observation group were less than those in the control group (P <0.05). The incidence of postoperative bleeding, effusion, upper extremity edema in the observation group was lower than that in the control group, with significant difference (P <0.05). The excellent and good rate of cosmetic effect in the observation group was 91.1%, which was higher than that of the control group (23.8%), the difference was statistically significant (P <0.05). The quality of life of the observation group at 3 months postoperatively was higher than that of the control group (P <0.05), such as functional status, emotional status, physical status, social / family status and additional attention. Conclusion breast-conserving treatment of breast cancer, small trauma, good curative effect, shorten the hospital stay of patients and reduce postoperative complications, and the cosmetic effect is good, postoperative high quality of life, it is worth promoting.