改良根治術(shù)和保乳術(shù)治療乳腺癌的臨床應(yīng)用效果比較

[摘要] 目的 研究比較改良根治術(shù)和保乳術(shù)治療乳腺癌的臨床應(yīng)用效果。方法 方便選取該院2013年4月—2015年1月期間收治乳腺癌患者65例，根據(jù)隨機(jī)數(shù)字表法，分為2組，改良手術(shù)組和保乳手術(shù)組。保乳手術(shù)組手術(shù)方式為常規(guī)保乳術(shù)；改良手術(shù)組施行改良根治術(shù)。就2組患者手術(shù)操作耗時(shí)、住院天數(shù)、手術(shù)過程出血量、乳房美觀評(píng)分和臨床療效、術(shù)后皮下積液、皮緣壞死等并發(fā)癥發(fā)生率進(jìn)行比較。結(jié)果 保乳手術(shù)組臨床療效93.04%明顯高于改良手術(shù)組78.13%，術(shù)后皮下積液、皮緣壞死等并發(fā)癥發(fā)生率6.06%低于改良手術(shù)組31.25%，P<0.05。保乳手術(shù)組患者手術(shù)操作耗時(shí)、住院天數(shù)、手術(shù)過程出血量、乳房美觀評(píng)分分別（51.74±4.85）min、（5.02±0.53）d、（31.52±7.92）mL、（91.74±4.85）分均優(yōu)于改良手術(shù)組（90.14±10.91）min、（7.98±1.72）d、（75.26±24.57）mL、（72.24±5.93）分，P<0.05。結(jié)論 保乳手術(shù)治療乳腺癌的臨床應(yīng)用效果確切，手術(shù)時(shí)間短、創(chuàng)傷少，可減少術(shù)后不良現(xiàn)象發(fā)生，提高乳房美觀度，值得推廣應(yīng)用。

[關(guān)鍵詞] 改良根治術(shù)；乳腺癌；保乳術(shù)

[中圖分類號(hào)] R737 [文獻(xiàn)標(biāo)識(shí)碼] A [文章編號(hào)] 1674-0742（2016）11（c）-0057-03

[Abstract] Objective To study the comparative and breast modified radical surgery for breast cancer clinical application effect.Methods Convenient selection our hospital during the period of April 2013 to January 2015 treated 65 cases of breast cancer patients， according to random number table method， divided into 2 groups， improved surgical group and breast surgery group. Bao milk the surgical operation method for conventional confirmed breast augmentation； Improved execute modified radical surgery group. Two groups of patients had surgical operation time， hospitalization days， operation process and breast beautiful score and clinical curative effect， postoperative subcutaneous effusion， skin necrosis incidence of complications such as comparison.Results The clinical curative effect of breast conserving surgery group was 93.04% significantly higher than that of the modified operation group 78.13%， the incidence of postoperative subcutaneous effusion， skin necrosis and other complications was 6.06% lower than that of the modified operation group 31.25%， P < 0.05. Keep breast surgery group of patients with operation time-consuming， hospitalization， surgery hemorrhage quantity， the breast beautiful score respectively （51.74 ± 4.85）min， （5.02±0.53）d， （31.52±7.92）mL， （91.74±4.85）points were is better than that of the modified operation group （90.14 ±10.91）min， （7.98±1.72）d， （75.26±24.57）mL， （72.24±593）points， P < 0.05. Conclusion The clinical application of breast cancer surgery treatment effect is exact， shorter operation time， less trauma， can reduce postoperative adverse phenomenon， improve the breast beautiful degrees， is worthy of popularization and application.

[Key words] Modified radical； Breast cancer； Confirmed breast augmentation

乳腺癌為常見惡性腫瘤，近年來其發(fā)病率逐年升高，成為女性發(fā)病率居于首位的惡性腫瘤。目前臨床治療乳腺癌多采取手術(shù)治療方式，而手術(shù)治療方式也隨著醫(yī)療技術(shù)進(jìn)步和放療技術(shù)提高，不僅著重腫瘤的切除，還關(guān)注患者術(shù)后的身心健康和生活質(zhì)量的提升。乳腺癌手術(shù)方法主要保留乳腺癌根治術(shù)、全乳房切除術(shù)、乳腺癌擴(kuò)大根治術(shù)、保留乳房的乳腺癌切除術(shù)、乳腺癌改良根治術(shù)等[1-2]，該研究方便選取該院2013年4月—2015年1月期間收治乳腺癌患者65例進(jìn)行隨機(jī)分組，探討了改良根治術(shù)和保乳術(shù)治療乳腺癌的臨床應(yīng)用效果，現(xiàn)報(bào)道如下。……