CAJ | 학술논문

目的探讨老年乳腺癌的临床特点及手术治疗的方法和疗效.方法回顾性分析我院于2007年7月-2008年7月收治的80例老年乳腺癌患者.采用随机抽样法分为两组,对照组40例,行改良根治术.实验组40例,行保乳手术.治疗后随访3年,观察两组患者治疗后的手术及并发症情况,手术预后情况.结果治疗后两组间相比:实验组患者的手术时间、住院时间、术中出血量、并发症发生率均优于对照组(P＜0.05),局部复发率、远处转移率、3年生存率分别为2.5％,2.5％,97.5％均优于对照组的5.0％,5.0％,85％,差异有显著性(P＜0.05).结论早期行保乳手术治疗老年乳腺癌,可显著改善患者的手术指征,降低其远期复发率和转移率,有利于提高患者的生活质量.
목적 탐토노년유선암적림상특점급수술치료적방법화료효.방법 회고성분석아원우2007년7월-2008년7월수치적80례노년유선암환자.채용수궤추양법분위량조,대조조40례,행개량근치술.실험조40례,행보유수술.치료후수방3년,관찰량조환자치료후적수술급병발증정황,수술예후정황.결과 치료후량조간상비:실험조환자적수술시간、주원시간、술중출혈량、병발증발생솔균우우대조조(P＜0.05),국부복발솔、원처전이솔、3년생존솔분별위2.5％,2.5％,97.5％균우우대조조적5.0％,5.0％,85％,차이유현저성(P＜0.05).결론조기행보유수술치료노년유선암,가현저개선환자적수술지정,강저기원기복발솔화전이솔,유리우제고환자적생활질량.
Objective To investigate the clinical characteristics of elderly breast cancer and surgical methods of treatment and efficacy.Methods A retrospective analysis was carried out in our hospital from July 2007 to July 2008 and 80 cases of elderly breast cancer patients were selected and divided into two groups by random sampling method,the 40 patients in control group underwent modified radical mastectomy.40 patients of experimental group underwent breast-conserving surgery.Up to 3 years after treatment,complications and surgical prognosis of patients in two groups were observed after surgery.Results The two groups were compared after treatment,the operation time,hospitalization time,blood loss and complication rate of experimental group were better than those of the control group (P＜ 0.05),and the local recurrence,distant metastasis,3 year survival rates were 2.5％,2.5％,97.5％ respectively,also better than those of the control group (5.0％,5.0％,85％),the difference was statistically significant (P＜0.05).Conclusion Early-line treatment for elderly breast-conserving surgery can significantly improve the patients' indications for surgery,reducing its long-term recurrence rate and transfer rate helping to improve the quality of life of patients.