中国伤残医学
中國傷殘醫學
중국상잔의학
Chinese Journal of Trauma and Disability Medicine
2015年
20期
4-6
,共3页
乳腺癌%改良根治术%保乳手术
乳腺癌%改良根治術%保乳手術
유선암%개량근치술%보유수술
Breast cancer%Modified radical mastectomy%Breast conserving surgery
目的：观察乳腺癌改良根治术与保乳手术治疗晚期乳腺癌的疗效和并发症情况。方法：选取2011年1月～2011年12月间在我院住院治疗的60例乳腺癌患者作为研究对象，并纳入观察组和对照组，每组各30例患者。比较2组患者术中情况、术后并发症情况和术后2年生存率情况，以评价2种疗法的治疗效果。结果：观察组患者手术时间短于观察组（p ＜0．05），手术操作时间长于对照组（p＜0．01），患者术中出血量差异无统计学意义（p＞00．5）；2组患者总体并发症发生率差异无统计学意义（x2＝0．14，p＞0．05）；2组患者局部复发和远处转移率差异无统计学意义（p＞0．05）；观察组患者术后2年生存率优于对照组，其差异有统计学意义（ p＜0．05）。结论：乳腺癌改良根治术与保乳手术具有相似的手术创伤和并发症发生率，但其远期疗效优于保乳手术。临床医生应根据病情和患者意愿综合考虑决定手术方式，使患者得到最大的收益。
目的：觀察乳腺癌改良根治術與保乳手術治療晚期乳腺癌的療效和併髮癥情況。方法：選取2011年1月～2011年12月間在我院住院治療的60例乳腺癌患者作為研究對象，併納入觀察組和對照組，每組各30例患者。比較2組患者術中情況、術後併髮癥情況和術後2年生存率情況，以評價2種療法的治療效果。結果：觀察組患者手術時間短于觀察組（p ＜0．05），手術操作時間長于對照組（p＜0．01），患者術中齣血量差異無統計學意義（p＞00．5）；2組患者總體併髮癥髮生率差異無統計學意義（x2＝0．14，p＞0．05）；2組患者跼部複髮和遠處轉移率差異無統計學意義（p＞0．05）；觀察組患者術後2年生存率優于對照組，其差異有統計學意義（ p＜0．05）。結論：乳腺癌改良根治術與保乳手術具有相似的手術創傷和併髮癥髮生率，但其遠期療效優于保乳手術。臨床醫生應根據病情和患者意願綜閤攷慮決定手術方式，使患者得到最大的收益。
목적：관찰유선암개량근치술여보유수술치료만기유선암적료효화병발증정황。방법：선취2011년1월～2011년12월간재아원주원치료적60례유선암환자작위연구대상，병납입관찰조화대조조，매조각30례환자。비교2조환자술중정황、술후병발증정황화술후2년생존솔정황，이평개2충요법적치료효과。결과：관찰조환자수술시간단우관찰조（p ＜0．05），수술조작시간장우대조조（p＜0．01），환자술중출혈량차이무통계학의의（p＞00．5）；2조환자총체병발증발생솔차이무통계학의의（x2＝0．14，p＞0．05）；2조환자국부복발화원처전이솔차이무통계학의의（p＞0．05）；관찰조환자술후2년생존솔우우대조조，기차이유통계학의의（ p＜0．05）。결론：유선암개량근치술여보유수술구유상사적수술창상화병발증발생솔，단기원기료효우우보유수술。림상의생응근거병정화환자의원종합고필결정수술방식，사환자득도최대적수익。
Objective:To observe the efficacy and complications of modified radical mastectomy and breast conserving operation for the treatment of advanced breast cancer.Methods:From 2011 January to 2011 year in December 60 cases of breast cancer patients in our hospital as the research object, and incorporated into the observation group and control group, each group had 30 patients.Patients were compared between the two groups in the postoperative complications, and postoperative 2 years survival rate to evaluate two therapies effect.Results:the patients in the observation group were shorter operation time in observation group (P <0.05), the operation time is longer than the control group (P <0.01), no significant difference in the amount of bleeding in patients (P >0.05);two patients over-all complication rates were not statistically significant (2=0.14, P >0.05);two groups of patients with local recurrence and distant me-tastasis rate was no significant difference (P >0.05);observation group patients 2 years survival rate than the control group, the differ-ence was statistically significant (P <0.05).Conclusion:modified radical mastectomy and breast conserving surgery is the incidence of surgical trauma and complications were similar, but its long-term efficacy is superior to breast conserving surgery.Clinicians should be integrated into the decision of surgical methods according to the condition and the willingness of patients, so that patients get the maximum profit.
