中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2015年
11期
76-78
,共3页
乳腺癌%保留乳房治疗%局部复发%影响因素
乳腺癌%保留乳房治療%跼部複髮%影響因素
유선암%보류유방치료%국부복발%영향인소
Breast cancer%Breast conservation therapy%Local recurrence%Influencing factor
目的：分析年轻患者乳腺癌保留乳房治疗局部复发情况及其影响因素。方法采用自编问卷收集本院乳腺外科2008年1月~2011年10月收治的375例乳腺癌患者的临床资料，并采用门诊随访和电话随访等完成为期3年的随访，通过分析乳腺癌患者的临床资料了解保留乳房治疗局部复发情况及其影响因素。结果乳腺癌保留乳房治疗局部复发率为14.40%，年龄≥35岁、手术切缘≥2 mm、淋巴结转移是患者保乳术后局部复发的危险因素，术后规范放化疗是患者保乳术后局部复发的保护因素。结论乳腺癌保留乳房治疗局部复发率仍较高，其局部复发受多方面因素影响，应采取针对性的预防干预措施来降低患者术后局部复发率，改善患者预后。
目的：分析年輕患者乳腺癌保留乳房治療跼部複髮情況及其影響因素。方法採用自編問捲收集本院乳腺外科2008年1月~2011年10月收治的375例乳腺癌患者的臨床資料，併採用門診隨訪和電話隨訪等完成為期3年的隨訪，通過分析乳腺癌患者的臨床資料瞭解保留乳房治療跼部複髮情況及其影響因素。結果乳腺癌保留乳房治療跼部複髮率為14.40%，年齡≥35歲、手術切緣≥2 mm、淋巴結轉移是患者保乳術後跼部複髮的危險因素，術後規範放化療是患者保乳術後跼部複髮的保護因素。結論乳腺癌保留乳房治療跼部複髮率仍較高，其跼部複髮受多方麵因素影響，應採取針對性的預防榦預措施來降低患者術後跼部複髮率，改善患者預後。
목적：분석년경환자유선암보류유방치료국부복발정황급기영향인소。방법채용자편문권수집본원유선외과2008년1월~2011년10월수치적375례유선암환자적림상자료，병채용문진수방화전화수방등완성위기3년적수방，통과분석유선암환자적림상자료료해보류유방치료국부복발정황급기영향인소。결과유선암보류유방치료국부복발솔위14.40%，년령≥35세、수술절연≥2 mm、림파결전이시환자보유술후국부복발적위험인소，술후규범방화료시환자보유술후국부복발적보호인소。결론유선암보류유방치료국부복발솔잉교고，기국부복발수다방면인소영향，응채취침대성적예방간예조시래강저환자술후국부복발솔，개선환자예후。
Objective To analyze local recurrence and its influencing factor analysis on young breast cancer by breast conservation therapy. Methods Clinical data of 375 patients with breast cancer treated in breast surgery department of our hospital from January 2008 to October 2011 were collected by self-made questionnaire,the outpatient follow-up and telephone follow-up for 3 years were used for follow-up.The clinical data of breast cancer patients were analyzed in order to understandhe local recurrence and its influencing factor analysis on young breast cancer by breast conserva-tion therapy. Results The local recurrence rate of young breast cancer patients by breast conservation therapy was 14.40%.Age≥35 years old,operation cut edge≥2 mm,lymph node metastasis were the risk factors of local recurrence in patients after breast conserving surgery.Specification radiation and chemotherapy after surgery was protective factor of the local recurrence on young breast cancer by breast conservation therapy. Conclusion The local recurrence rate of young breast cancer patients by breast conservation therapy is high.Its local recurrence is influenced by various factors, we should take corresponding prevention interventions to reduce the probability of patients with postoperative local re-currence and improve the prognosis of patients.
