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目的:探讨乳腺癌术后放射治疗的临床效果。方法:回顾性分析250例乳腺癌患者的临床资料,行单纯根治术102例,行根治术加放射治疗148例。结果:(1)A组和B组总的3年生存率分别为57.6%(57/99)及56.8%(79/139):5年生存率分别为28.3%(28/99)及43.2%(60/139)。(2)A组和B组3年局部复发率分别为8.7%(5/57)及1.27%(1/79),5年局部复发率分别为39.3%(11/28)及0.7%(1/139):3年远处转移率分别为8.8%(5/57)及3.21%(9/28),5年远处转移率分别为7.59%(6/79)及3.33%(2/60)。结论:乳腺癌术后放射治疗可以提高5年生存率,降低复发率及转移率。
Objective: To investigate the clinical effect of postoperative radiotherapy for breast cancer. Methods: The clinical data of 250 patients with breast cancer were retrospectively analyzed. 102 patients underwent radical mastectomy alone and 148 patients underwent radical mastectomy plus radiotherapy. Results: (1) The overall 3-year survival rates in group A and group B were 57.6% (57/99) and 56.8% (79/139) respectively: the 5-year survival rates were 28.3% (28/99) and 43.2% (60/139). (2) The 3-year local recurrence rates in group A and group B were 8.7% (5/57) and 1.27% (1/79) respectively, and the 5-year local recurrence rates were 39.3% (11/28) and 0.7% / 139). The distant metastasis rates in 3 years were 8.8% (5/57) and 3.21% (9/28), respectively. The 5 year distant metastasis rates were 7.59% (6/79) and 3.33% (2/60) ). Conclusion: Postoperative radiotherapy for breast cancer can improve the 5-year survival rate and reduce the recurrence rate and metastasis rate.