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目的探讨改良乳腺癌根治术的临床疗效。方法回顾性分析158例乳腺癌行改良乳腺癌根治术(保留胸大、小肌)的治疗效果。结果158例患者中术后发生皮下积液12例,切口皮缘坏死6例,上肢淋巴性水肿(轻度)8例。3年生存率为86.07%,5年生存率70.88%。结论采用保留胸大、小肌乳腺癌改良根治术,术中避免损伤神经,术后综合性治疗,可以获得良好的胸廓外形和肢体功能,提高了远期疗效。
Objective To investigate the clinical efficacy of modified radical mastectomy. Methods A retrospective analysis of 158 cases of breast cancer underwent radical mastectomy (retained chest, small muscle) treatment. Results Among the 158 patients, 12 cases had subcutaneous effusion after operation, 6 cases had skin incision necrosis, and 8 cases had upper limb lymphedema (mild). 3-year survival rate was 86.07%, 5-year survival rate was 70.88%. Conclusions The conservative treatment of thoracic and small breast cancer with modified radical mastectomy and intraoperative avoidance of nerve injury and postoperative comprehensive treatment can achieve good thoracic appearance and limb function and improve long-term curative effect.