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目的:探讨用保乳术和改良的乳腺癌根治术治疗乳腺癌的临床效果。方法:回顾性分析我院2010年8月-2015年9月期间收治的100例乳腺癌患者临床资料。将100例患者随机分成对照组和观察组各50例。对照组实施改良根治术治疗,观察组予以保乳术治疗。对比两组患者手术时间、术中出血量、住院时间、5年生存率等情况。结果:观察组手术时间、术中出血量及住院时间均明显较对照组低,二者差异比较具有统计学意义(P<0.05);观察组术后并发症发生率(4.00%)同样明显较对照组(14.00%)低,二者差异比较具有统计学意义(P<0.05);5年生存率方面,观察组与对照组相比无明显差异(P>0.05)。结论:采用保乳手术治疗乳腺癌患者治疗效果显著,其具有操作简单、微创,术后恢复快且并发症少。
Objective: To investigate the clinical effect of breast-conserving surgery and modified radical mastectomy for breast cancer. Methods: The clinical data of 100 breast cancer patients admitted to our hospital from August 2010 to September 2015 were retrospectively analyzed. 100 patients were randomly divided into control group and observation group 50 cases each. The control group was treated with modified radical mastectomy. The observation group was treated with breast-conserving surgery. The operative time, intraoperative blood loss, hospital stay, and 5-year survival rate were compared between the two groups. Results: The operative time, intraoperative blood loss and length of stay in the observation group were significantly lower than those in the control group. The difference between the two groups was statistically significant (P<0.05). The incidence of postoperative complications (4.00%) was also significantly lower in the observation group. The difference in the control group (14.00%) was statistically significant (P<0.05). There was no significant difference in the 5-year survival rate between the observation group and the control group (P>0.05). Conclusion: Breast-conserving surgery is effective in treating patients with breast cancer. It has the advantages of simple operation, minimal invasion, rapid postoperative recovery and less complications.