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目的探讨早期乳腺癌保乳手术的临床疗效、美容效果和不良反应的发生情况。方法回顾性分析阜阳市人民医院自2009年5月至2011年5月,确诊为早期乳腺癌患者57例的临床资料,其中保乳手术组(27例)采用保乳手术,改良手术组(30例)采用改良根治术。全部患者均给予患侧全腋窝淋巴结清扫术。结果在近期手术并发症、无病生存分析中,两组比较差异无统计学意义(P>0.05)。但保乳手术组美容效果评价优的患者(22/27,81.5%)显著优于改良手术组,且评价手术近期疗效,两组比较差异有统计学意义(P<0.05)。结论保乳手术组的近期不良反应、无病生存时间与改良手术组相似,但美容评价显著优于改良手术组。
Objective To investigate the clinical efficacy, cosmetic effects and adverse reactions of breast conserving surgery in early breast cancer. Methods The clinical data of 57 patients with early breast cancer who were diagnosed as early breast cancer from May 2009 to May 2011 in Fuyang People’s Hospital were retrospectively analyzed. Breast-conserving surgery group (27 cases) Example) Modified radical mastectomy. All patients were given ipsilateral axillary lymph node dissection. Results In the recent surgical complication and disease-free survival analysis, there was no significant difference between the two groups (P> 0.05). However, the breast-conserving surgery group was superior to the modified surgery group in evaluating the cosmetic effect (22/27, 81.5%), and the short-term curative effect was evaluated. The difference between the two groups was statistically significant (P <0.05). Conclusions The recent adverse reactions and disease-free survival time of breast-conserving surgery group are similar to those of the modified surgery group, but the cosmetic evaluation is significantly better than that of the modified surgery group.