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目的研究保乳术与改良根治术治疗早期乳腺癌的临床效果。方法 90例早期乳腺癌患者,按手术方法不同分为观察组和对照组,每组45例。观察组采取保乳术治疗,对照组采取改良根治术治疗。比较两组的手术时间、术中出血量、术后并发症及乳房美容满意度。结果观察组平均手术时间(96.48±16.24)min、术中出血量(90.32±11.45)ml、并发症发生率6.67%、房美容满意度84.44%(38/45)均明显优于对照组的(150.33±18.33)min、(162.36±12.58)ml、22.22%、33.33%(P<0.05)。结论保乳术治疗早期乳腺癌临床效果显著,与改良根治术相比,损伤更小,患者满意度更高,值得推广。
Objective To study the clinical effects of conservative surgery and modified radical mastectomy on early breast cancer. Methods 90 cases of early breast cancer patients were divided into observation group and control group according to different surgical methods, with 45 cases in each group. The observation group was treated with breast-conserving surgery while the control group was treated with modified radical mastectomy. The operation time, intraoperative blood loss, postoperative complications and breast cosmetic satisfaction were compared between the two groups. Results The mean operative time (96.48 ± 16.24) min, blood loss in operation (90.32 ± 11.45) ml, complication rate 6.67% and room satisfaction 84.44% (38/45) in the observation group were significantly better than those in the control group 150.33 ± 18.33) min, (162.36 ± 12.58) ml, 22.22% and 33.33%, respectively (P <0.05). Conclusion The clinical effect of breast-conserving surgery in the treatment of early-stage breast cancer is significant. Compared with modified radical mastectomy, the damage is less and the patient satisfaction is higher, which is worth to be popularized.