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目的探讨早期乳腺癌保乳手术的临床疗效。方法选择60例早期乳腺癌行保乳手术患者为观察组,选择同期住院的60例行改良根治术患者为对照组,比较两组患者的近期临床疗效。结果 60例保乳手术患者中有3例发生远行转移,60例改良根治术患者有2例发生远行转移;保乳治疗6个月后乳房美容效果评估优、良者术后占83.3%;应用美国乳腺癌患者生存质量评定量表对两组患者生存质量进行评估,保乳术组明显优于对照组,两组比较有统计学意义(P<0.05)。结论与改良根治术相比,早期乳腺癌保乳手术同样具有较好的疗效,且美容效果及生存质量均优于改良根治术。
Objective To investigate the clinical efficacy of breast conserving surgery in early breast cancer. Methods Sixty patients with breast cancer undergoing breast-conserving surgery were selected as the observation group. Sixty patients undergoing conservative radical operation were selected as the control group, and the short-term clinical efficacy was compared between the two groups. Results Of the 60 cases of breast-conserving surgery, 3 cases had distant metastasis, and 60 cases of modified radical mastectomy had distant metastasis. After breast-conserving treatment for 6 months, the evaluation of breast cosmetic effect was excellent, while that of good breast surgery accounted for 83.3% The quality of life of the two groups of patients was assessed by American College of Life Quality Assessment Scale for Breast Cancer Patients, and the breast-conserving surgery group was significantly better than the control group, with statistical significance (P <0.05). Conclusion Compared with modified radical mastectomy, breast conserving surgery of early breast cancer also has good curative effect, and the cosmetic effect and quality of life are better than modified radical mastectomy.