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目的探讨经济落后地区技术改进后综合治疗乳腺癌患者,从而达到根治、美容且提高术后生活质量的目的。方法 89例早中期乳腺癌患者,均为女性,年龄28～64岁。89例均施行Auchincloss综合改进术式。结果本组病例随访2～5年,术后效果良好,3例局部复发和远处转移。5例出现患侧上肢水肿,4例小面积皮瓣坏死,2例发现切口下少量积液,5例短期内同侧腋窝及上肢内侧感觉障碍。结论通过上述综合改进,既能彻底根治患者病灶、保持外型美观,又能最大限度地减少并发症,有效地提高经济落后地区患者术后生活质量,适合经济落后地区医院临床推广应用。
Objective To explore the comprehensive treatment of patients with breast cancer after technological improvement in economically underdeveloped areas so as to achieve the goal of radical treatment and cosmetic treatment and to improve postoperative quality of life. Methods 89 cases of early and mid-stage breast cancer patients, all female, aged 28 to 64 years. 89 cases were implemented Auchincloss comprehensive improvement of surgery. Results The patients were followed up for 2 to 5 years, the effect was good, 3 cases of local recurrence and distant metastasis. 5 cases of ipsilateral upper limb edema, 4 cases of small area flap necrosis, 2 cases found a small amount of effusion under the incision, 5 cases of ipsilateral axillary and upper limb medial sensory short-term. Conclusion Through the above comprehensive improvement, it not only can completely cure the patient’s lesion, but also can keep the good appearance, minimize the complication, effectively improve the postoperative quality of life in economically disadvantaged area, and is suitable for clinical popularization and application in hospitals in economically backward areas.