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目的:探讨保乳手术在早期乳腺癌患者治疗中的临床应用价值。方法:将69例早期乳腺癌患者按照随机分层分组法分为观察组和对照组,对照组患者采用根治性手术治疗,观察组采用保乳手术治疗。结果:观察组手术时间、术中出血、切口长度、引流量及住院时间均优于对照组,两组差异有统计学意义(P<0.05)。观察组乳房美容优良率为97.3%(36/37),对照组乳房美容优良率为75.0%(24/32),两组差异有统计学意义(P<0.05)。结论:早期乳腺癌患者采用保乳手术不仅能显著提高美容效果,而且能显著改善手术时间、出血量及引流量等临床诊疗指标,但术后复发率与根治性手术疗法相比差异无统计学意义。
Objective: To explore the clinical value of breast-conserving surgery in the treatment of early-stage breast cancer. Methods: 69 patients with early breast cancer were divided into observation group and control group according to a random stratified grouping method. Patients in the control group were treated with radical surgery. The observation group was treated with breast-conserving surgery. Results: The operative time, intraoperative blood loss, incision length, drainage volume and length of stay in the observation group were better than those in the control group. There was a statistically significant difference between the two groups (P<0.05). The excellent and good rate of breast cosmetic was 97.3% (36/37) in the observation group, and 75.0% (24/32) in the control group. The difference between the two groups was statistically significant (P<0.05). Conclusions: Breast-conserving surgery for early-stage breast cancer patients can not only significantly improve the cosmetic results, but also can significantly improve the clinical diagnosis and treatment indicators such as operation time, blood loss and drainage, but the recurrence rate is not statistically different from the radical surgery. significance.