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目的 :随着乳腺癌手术后5年生存率的不断提高 ,乳腺癌根治术后乳房再造已成为当前乳腺外科的一个重要课题。方法 :自1993年至1996年先后随机对34例Ⅰ、Ⅱ期乳腺癌患者施行保留乳头附合体的手术切口的改良根治术。结果 :在保证达到根治效果的基础上 ,保留乳头及乳晕的组织结构 ,为以后的乳房再造创造了良好的解剖条件。同期随机取43例改良根治术的乳腺癌患者作为对照。结论 :统计结果表明 ,两组病例疗效相同。随访结果证明 ,该手术切口的设计 ,不影响手术根治的效果 ,无特殊并发症 ,术后复发率及死亡率 ,与改良根治术无差异。
OBJECTIVE: With the continuous improvement of 5-year survival rate after breast cancer surgery, breast reconstruction after radical mastectomy has become an important issue in current breast surgery. Methods: From 1993 to 1996, 34 cases of stage I and II breast cancer were randomized to undergo modified radical mastectomy. Results: On the basis of ensuring the curative effect, the structure of the nipple and areola was preserved, which created good anatomical conditions for the subsequent reconstruction of the breast. The same period, 43 cases of modified radical mastectomy in patients with breast cancer as a control. Conclusion: The statistical results show that the two groups of patients with the same effect. Follow-up results show that the design of the surgical incision, does not affect the effect of radical surgery, no special complications, postoperative recurrence and mortality, no difference with modified radical mastectomy.