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目的探讨乳腺癌术式改进对近远期临床疗效的影响。方法选取2010年2月~2012年2月在本院行乳腺癌根治术的患者160例,随机分为观察组和对照组,每组各80例。观察组患者行乳腺癌改良根治术,对照组行标准乳腺癌根治术,对比两种术式的近远期疗效。结果两组比较,观察组皮瓣坏死、伤口积液、上肢肿胀发生率显著低于对照组,差异有统计学意义(P<0.05)。所有患者随访16个月,观察组复发2例,对照组复发1例,两组比较差异无统计学意义(P>0.05)。结论乳腺癌术式改进在达到传统术式远期疗效的基础上,能减少近期的并发症发生率,值得临床推广。
Objective To investigate the effect of surgical improvement of breast cancer on clinical efficacy in the near and distant periods. Methods From February 2010 to February 2012, 160 patients undergoing radical mastectomy in our hospital were randomly divided into observation group and control group, 80 cases in each group. The patients in observation group underwent modified radical mastectomy for breast cancer and the control group underwent radical mastectomy. The short-term and long-term curative effects of the two surgical procedures were compared. Results In the two groups, the incidence of skin flap necrosis, wound effusion and upper limb swelling in the observation group was significantly lower than that in the control group (P <0.05). All patients were followed up for 16 months, 2 cases in the observation group and 1 case in the control group. There was no significant difference between the two groups (P> 0.05). Conclusion Breast cancer surgical improvements in achieving the traditional long-term efficacy of surgery based on the can reduce the incidence of recent complications, is worth clinical promotion.