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[目的]探讨早期乳腺癌保乳手术的可行性和安全性。[方法]回顾性分析2001年1月~2007年12月期间所行保乳手术38例和改良根治组患者76例。[结果]保乳手术组在手术时间、术中出血量、术后引流总量、术后引流时间,距切缘3cm内的皮瓣缺血情况方面明显优于改良根治组(P<0.05),两组在清扫淋巴结数目、患侧上肢水肿发生率、总生存率、总局部复发率和总远处转移率方面无显著性差异(P>0.05)。[结论]早期乳腺癌保乳手术加术后的综合治疗能取得与改良根治术相同的疗效,而且手术创伤小,术后恢复快,术后并发症少,增加了美容效果,提高了生存质量。
[Objective] To investigate the feasibility and safety of breast-conserving surgery in early breast cancer. [Methods] 38 cases of breast conserving surgery and 76 cases of modified radical mastectomy were retrospectively analyzed from January 2001 to December 2007. [Results] The breast-conserving surgery group was significantly better than the modified radical treatment group in operation time, intraoperative blood loss, postoperative total drainage, postoperative drainage time, and flap ischemia within 3cm from the margin (P <0.05) There was no significant difference between the two groups in the number of lymph nodes dissection, the incidence of upper limb edema, the overall survival rate, the total local recurrence rate and the total distant metastasis rate (P> 0.05). [Conclusion] The combination of conservative breast-conserving surgery and post-operative treatment can achieve the same curative effect as modified radical mastectomy, and it has the advantages of small operation trauma, rapid postoperative recovery, less postoperative complications, increased cosmetic effect and improved quality of life .