目的探讨早期乳腺癌保乳手术疗效。方法回顾性分析我科2001—2008年18例早期乳腺癌行保乳手术的疗效。结果全部患者手术过程顺利,术后乳房外形保持良好,随诊3个月~5年,无局部复发,有一例出现肺部转移,无死亡患者。结论早期乳腺癌可保乳手术治疗的近、远期疗效满意。规范的手术和术后放化疗、全身综合治疗是保乳治疗成为的关键。 Objective To investigate the effect of breast conserving surgery in early breast cancer. Methods The clinical data of 18 breast cancer patients undergoing breast-conserving surgery in our department from 2001 to 2008 were analyzed retrospectively. Results All patients underwent a successful surgical procedure. The shape of the breast remained well after 3 months to 5 years of follow-up. There was no local recurrence. One patient had lung metastasis without death. Conclusion Early breast conservatism surgical treatment of short-term, long-term efficacy is satisfactory. Standardized surgery and postoperative radiotherapy and chemotherapy, systemic treatment is the key to breast-conserving treatment.