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目的:探讨不同切口下乳腺癌根治术的临床效果。方法:将140例乳腺癌患者根据治疗方法的不同分为对照组60例和治疗组80例,两组都行乳腺癌改良根治术,对照组采用Halsted-Meyer纵切口,治疗组采用Stewart横切口。比较两组手术并发症的发生情况、术后局部复发与远处转移的情况以及生存质量的改变情况。结果:所有患者都顺利完成手术,与对照组相比,治疗组术后皮瓣下积液、皮瓣坏死、上肢淋巴水肿的并发症发生率均明显降低(P<0.05),术后躯体、心理、社会支持、精神评分均明显升高(P<0.05),术后6个月的局部复发率与远处转移率均明显降低(P<0.05)。结论:横切口下实施乳腺癌改良根治术能减少术后并发症,提高患者的术后生存质量,改善患者的远期预后。
Objective: To investigate the clinical effect of radical mastectomy under different incision. Methods: 140 cases of breast cancer patients according to different treatment methods were divided into control group 60 cases and treatment group 80 cases, both groups underwent modified radical mastectomy, control group using Halsted-Meyer longitudinal incision, the treatment group by Stewart transverse incision . The incidence of surgical complications, postoperative local recurrence and distant metastasis, and quality of life changes were compared between the two groups. Results: All the patients completed the operation successfully. Compared with the control group, the incidence of postoperative flap effusion, flap necrosis and upper extremity lymphedema in the treatment group was significantly lower than that of the control group (P <0.05) Psychological, social support, mental scores were significantly increased (P <0.05), 6 months after the local recurrence rate and distant metastasis were significantly lower (P <0.05). Conclusion: Modified radical mastectomy with transverse incision can reduce postoperative complications, improve postoperative quality of life and improve long-term prognosis of patients.