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目的探究早期乳腺癌保乳根治术中前哨淋巴结活检术的临床意义。方法整群选取2012年4月—2015年4月该院收治的早期乳腺癌患者297例,根据入院时间分为观察组和对照组,分别为148例和149例,对照组采用传统乳腺癌手术治疗,观察组采用前哨淋巴结活检术治疗,比较两组治疗效果。结果对照组手术出血量、手术时间和拔管时间分别为(166.6±23.5)m L、(99.7±20.5)min、(28.8±11.4)d,高于观察组的(62.5±15.6)m L、(66.6±21.4)min、(5.1±1.3)d;观察组乳腺美容效果优良率为99.32%,明显高于对照组的83.22%,以上差异有统计学意义,P<0.05。结论早期乳腺癌在保乳根治术中,采取前哨淋巴活检术,临床效果显著。
Objective To investigate the clinical significance of sentinel lymph node biopsy in radical mastectomy for early breast cancer. Methods A total of 297 early breast cancer patients admitted to our hospital from April 2012 to April 2015 were enrolled in this study. According to the time of admission, the patients were divided into observation group and control group, with 148 cases and 149 cases respectively. The control group received conventional breast cancer surgery Treatment, observation group sentinel lymph node biopsy treatment, the two groups were compared. Results The volume of operation bleeding, operation time and extubation time in the control group were (166.6 ± 23.5) m L, (99.7 ± 20.5) min and (28.8 ± 11.4) d respectively, higher than those in the observation group (62.5 ± 15.6) m L, (66.6 ± 21.4) min and (5.1 ± 1.3) d respectively. The excellent and good rate of breast cosmetic effect in the observation group was 99.32%, which was significantly higher than that of the control group (83.22%), the difference was statistically significant (P <0.05). Conclusion Early breast cancer in conservative treatment of radical, sentinel lymph biopsy, the clinical effect was significant.