CAJ | 학술논문

目的：探讨保乳手术与根治性手术应用在早期乳腺癌患者中的治疗效果及并发症发生情况。方法110例行手术治疗的早期乳腺癌患者采用随机数字表法分为两组，每组55例，对照组给予根治性手术治疗，观察组采用保乳手术治疗，记录两组患者手术情况。结果观察组切口长度（4．02±1．15）cm，手术时间（58．93±13．25）min，术中出血量（10．11±2．87）mL，住院时间（10．74±2．17）d；对照组切口长度（11．87±2．44）cm，手术时间（95．72±26．78）min，术中出血量（85．27±14．28）mL，住院时间（15．86±4．43）d，两组差异均有统计学意义（t ＝21．582、9．131、5．714、7．697，均 P ＜0．05）。观察组手发生术后感染1例，上肢水肿2例，未发生皮下出血；对照组手发生术后感染6例，上肢水肿10例，皮下出血5例，两组差异有统计学意义（χ2＝4．852、5．986、5．238，均 P ＜0．05）。观察组术后3个月生理状态（54．18±6．28）分，心理状态（59．27±5．82）分，环境状况（68．45±7．68）分，社会功能（57．46±5．97）分；对照组术后3个月生理状态（65．69±9．11）分，心理状态（68．31±7．33）分，环境状况（78．17±10．54）分，社会功能（68．77±7．15）分，两组差异均有统计学意义（t ＝7．714、7．163、5．527、9．004，均 P ＜0．05）。结论保乳手术应用在早期乳腺癌患者中能够缩短手术时间，减少术中出血和引流量，缩短住院时间，降低并发症发生，提升术后生活质量，值得在临床推广应用。
목적：탐토보유수술여근치성수술응용재조기유선암환자중적치료효과급병발증발생정황。방법110례행수술치료적조기유선암환자채용수궤수자표법분위량조，매조55례，대조조급여근치성수술치료，관찰조채용보유수술치료，기록량조환자수술정황。결과관찰조절구장도（4．02±1．15）cm，수술시간（58．93±13．25）min，술중출혈량（10．11±2．87）mL，주원시간（10．74±2．17）d；대조조절구장도（11．87±2．44）cm，수술시간（95．72±26．78）min，술중출혈량（85．27±14．28）mL，주원시간（15．86±4．43）d，량조차이균유통계학의의（t ＝21．582、9．131、5．714、7．697，균 P ＜0．05）。관찰조수발생술후감염1례，상지수종2례，미발생피하출혈；대조조수발생술후감염6례，상지수종10례，피하출혈5례，량조차이유통계학의의（χ2＝4．852、5．986、5．238，균 P ＜0．05）。관찰조술후3개월생리상태（54．18±6．28）분，심리상태（59．27±5．82）분，배경상황（68．45±7．68）분，사회공능（57．46±5．97）분；대조조술후3개월생리상태（65．69±9．11）분，심리상태（68．31±7．33）분，배경상황（78．17±10．54）분，사회공능（68．77±7．15）분，량조차이균유통계학의의（t ＝7．714、7．163、5．527、9．004，균 P ＜0．05）。결론보유수술응용재조기유선암환자중능구축단수술시간，감소술중출혈화인류량，축단주원시간，강저병발증발생，제승술후생활질량，치득재림상추엄응용。
Objective To discuss the application of breast surgery with radical surgery in the therapeutic effect and complications in patients with early breast cancer.Methods 110 early breast cancer patients with surgical treatment were randomly divided into two groups,each group in 55 cases,the control group was given radical surgical treatment,the observation group was given breast conserving operation,surgery were recorded in patients of the two groups.Results The results of the observation group showed operative incision length (4.02 ±1.15)cm,operation time (58.93 ±13.25)min,intraoperative blood loss (10.11 ±2.87)mLand length of hospital stay (10.74 ±2.17)d. The datas of control group showed surgical incision length (11.87 ±2.44)cm,operation time (95.72 ±26.78)min, intraoperative blood loss (85.27 ±14.28)mL and length of hospital stay (15.86 ±4.43)d,the differences were statistically significant (t =21.582,9.131,5.714,7.697,all P <0.05).Observation group occurred postoperative hand infection in 1 case,upper extremity edema in 2 cases,and no subcutaneous hemorrhage occurs.Control group had 6 cases of postoperative hand infection,10 cases of upper limb edema,and subcutaneous hemorrhage in 5 cases,the differences were statistically significant (χ2 =4.852,5.986,5.238,all P <0.05).3 months after operation,datas of observation group showed physiological state (54.18 ±6.28)points,psychological state (59.27 ±5.82)points,environmental conditions (68.45 ±7.68)points and social function (57.46 ±5.97)points.Physiological state of the control group after 3 month was (65.69 ±9.11)points,while psychological state was (68.31 ±7.33)points,environmental conditions was (78.17 ±10.54)points,social function was (68.77 ±7.15)points,the differences were statistically significant (t =7.714,7.163,5.527,9.004,all P <0.05).Conclusion Breast surgery application in patients with early breast cancer can shorten the operation time,reduce intraoperative bleeding and flow rate,shorten the length of hospital stay, reduce complications and improve postoperative quality of life,it is worth popularizing in clinical application.