CAJ | 학술논문

目的：探讨改良根治术联合抽脂术治疗乳腺癌的临床疗效。方法选取乳腺癌患者64例，以随机数字表法分为观察组和对照组各32例；对照组行常规改良根治术，观察组行改良根治和抽脂联合术。结果两组复发率、转移率及生存率比较，无统计学差异（P＞0．05）；观察组总并发症发生率显著低于对照组（25．0％ vs 53．1％，P＜0．05）；观察组患者躯体、心理、社会、精神评分分别为（61．2±7．83）、（111±9．66）、（59．4±6．84）、（46．3±5．86）分，对照组分别为（53．5±6．54）、（106±8．31）、（54．3±6．61）、（43．2±5．54）分，观察组各项评分均显著高于对照组（P＜0．05或P＜0．001）。结论改良根治术联合抽脂术治疗Ⅰ、Ⅱ、Ⅲ期乳腺癌，能够较完整清除病灶，且能够保护肋间臂神经，可提高患者的预后生存质量。
목적：탐토개량근치술연합추지술치료유선암적림상료효。방법선취유선암환자64례，이수궤수자표법분위관찰조화대조조각32례；대조조행상규개량근치술，관찰조행개량근치화추지연합술。결과량조복발솔、전이솔급생존솔비교，무통계학차이（P＞0．05）；관찰조총병발증발생솔현저저우대조조（25．0％ vs 53．1％，P＜0．05）；관찰조환자구체、심리、사회、정신평분분별위（61．2±7．83）、（111±9．66）、（59．4±6．84）、（46．3±5．86）분，대조조분별위（53．5±6．54）、（106±8．31）、（54．3±6．61）、（43．2±5．54）분，관찰조각항평분균현저고우대조조（P＜0．05혹P＜0．001）。결론개량근치술연합추지술치료Ⅰ、Ⅱ、Ⅲ기유선암，능구교완정청제병조，차능구보호륵간비신경，가제고환자적예후생존질량。
Objective To explore the clinical efficacy of modified radical surgery combined with liposuction for breast cancer.Methods 64 patients with breast cancer were selected and divided into 2 groups(n1 =n2 =32).Patients in the control group were given modified radical surgery,while patients in the observation group were given liposuction on base of modified radi-cal surgery.Results There had no significant difference in metastasis rate,recurrence rate and survival rate between the 2 groups (P>0.05).The complication rate of the observation group was significantly lower than that of the control group(25.0% vs 53.1%,P<0.05).The physical,psychological,social,and spiritual score of the observation group were respectively 61.2 ± 7.83,111 ±9.66,59.4 ±6.84 and 46.3 ±5.86,which were all significantly higher than those of the control group(53.5 ±6.54, 106 ±8.31,54.3 ±6.61 and 43.2 ±5.54)(P<0.05 or P<0.001).Conclusion Modified radical surgery combined with lipo-suction can remove lesions as well as protect the nervi intercostobrachiales,and it can improve the life quality of breast cancer pa-tients.