目的探讨早期乳腺癌保乳手术的适应证及近期疗效。方法我院自2000年1月至2006年12月采用保乳治疗乳腺癌58例,术后依据淋巴结有无转移,雌、孕激素受体及Her-2表达情况并给予相应放疗、化疗及内分泌治疗。结果全组随诊20～70个月,局部无复发,1例出现腰椎转移。结论保乳治疗早期乳腺癌是可行的,且美容效果好。 Objective To explore the indications and short-term curative effect of breast conserving surgery in early breast cancer. Methods From January 2000 to December 2006 in our hospital breast-conserving treatment of breast cancer in 58 patients with postoperative lymph node metastasis, estrogen and progesterone receptors and Her-2 expression and given the corresponding radiotherapy, chemotherapy and endocrine treatment. Results All patients were followed up for 20 to 70 months without local recurrence and lumbar metastasis in 1 case. Conclusion breast conserving treatment of early breast cancer is feasible, and the cosmetic effect is good.