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目的观察保乳术治疗早期乳腺癌的临床疗效和预后。方法将106例早期乳腺癌患者按手术方式不同分为研究组和对照组各53例。研究组采用保乳手术治疗,对照组实施根治术治疗,观察2组患者手术情况,术后进行5年随访,比较2组患者预后情况。结果研究组术中出血量及平均引流量均少于对照组,手术时间及住院时间均短于对照组,研究组并发症发生率为3.8%低于对照组的18.9%,差异均有统计学意义(P<0.05)。2组患者5年总生存率、局部复发率及远处转移率无明显差异(P>0.05)。结论对早期乳腺癌患者实施保乳术治疗效果显著,可有效缩短住院时间,降低并发症发生率,预后效果较好,值得临床推广。
Objective To observe the clinical efficacy and prognosis of breast-conserving surgery for early-stage breast cancer. Methods 106 cases of early breast cancer patients were divided into study group and control group according to the different surgical methods. The study group was treated with breast-conserving surgery, and the control group was treated with radical operation. The operation of the two groups was observed. After 5-year follow-up, the prognosis of the two groups was compared. Results The intraoperative blood loss and average drainage were less in the study group than in the control group, and the operation time and hospitalization time were shorter than the control group. The complication rate in the study group was 3.8% lower than that in the control group (18.9%), with statistical differences Significance (P <0.05). There was no significant difference in 5-year overall survival, local recurrence and distant metastasis between the two groups (P> 0.05). Conclusion The effect of breast-conserving surgery on patients with early-stage breast cancer is significant, which can effectively shorten the hospital stay and reduce the incidence of complications, the prognosis is good and worthy of clinical promotion.