CAJ | 학술논문

目的：比较早期老年乳腺癌患者保乳术与改良根治术的疗效。方法：将48例早期乳腺癌患者按治疗方式分为2组：观察组24例，接受保乳术治疗；对照组24例，接受改良根治术治疗。在患者出院后，再对其进行长达3年的随访。结果：观察组术后乳房美容效果显著优于对照组，两组比较差异有统计学意义（P＜0.01）。两组患者的局部复发率，远处转移率，3年生存率差异无统计学意义（P＞0.05）。结论：早期老年乳腺癌行保乳治疗具有机体创伤小、组织器官破坏少、美容效果好和保存功能的优点，在严格掌握手术适应证的前提下，并不增加复发及远处转移的风险。
목적：비교조기노년유선암환자보유술여개량근치술적료효。방법：장48례조기유선암환자안치료방식분위2조：관찰조24례，접수보유술치료；대조조24례，접수개량근치술치료。재환자출원후，재대기진행장체3년적수방。결과：관찰조술후유방미용효과현저우우대조조，량조비교차이유통계학의의（P＜0.01）。량조환자적국부복발솔，원처전이솔，3년생존솔차이무통계학의의（P＞0.05）。결론：조기노년유선암행보유치료구유궤체창상소、조직기관파배소、미용효과호화보존공능적우점，재엄격장악수술괄응증적전제하，병불증가복발급원처전이적풍험。
objective:To compare the therapeutic effect of breast-conserving surgery and modified radical mastectomy in the treatment of elderly patients with early-stage breast cancer.Methods:According to their surgical method,48 elderly patients with early-stage breast cancer were divided into 2 groups.The observation group included 24 patients and received breast-conserving surgery,and the control group included 24 patients and received modified radical mastectomy.After being dischargde,al patients were fol owde up for 3 years.Results:The postoperative breast cosmetic efficacy of the observation group was bet er than that of the control group(P<0.01).There were no significant differences in the local recurrence rate,distant metastasis rate,3-year survival rate between the observation group and the control group(P>0.05).Conclusion:It shows the advantages of little pain,good cosmetic results and good functions of the breast conserving surgery for early stage breast cancer in the aged women.With the strictly handling of the indication,it does not increase the risk of recurrence and metastasis.