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目的探讨乳腺癌保乳手术治疗的临床疗效及术后美容效果。方法 2008年7月~2010年12月,选取我院乳腺外科治疗的乳腺癌患者共90例,随机分为两组,观察组45例,为保留乳房手术组,对照组45例,为改良根治术组。结果两组患者术后临床疗效比较,观察组局部复发2例,对照组无局部复发,两组患者3年总生存率比较差异无显著性(P>0.05)。术后美容效果显示45例观察组患者中26例为优,13例为良,6例为差,优良率实现了86.67%;而对照组患者全部侧乳房缺如。结论乳腺癌实施保乳手术治疗乳腺癌临床效果确切,且术后美容效果好。随着乳腺癌诊断技术的不断进步,保乳手术将越来越多地被应用于临床。
Objective To investigate the clinical efficacy and postoperative cosmetic results of breast conserving surgery. Methods From July 2008 to December 2010, a total of 90 breast cancer patients treated by breast surgery in our hospital were randomly divided into two groups, 45 cases in observation group, 45 cases in breast preservation group and 45 cases in control group. Surgery group. Results The clinical curative effect of two groups was compared. There were 2 cases of local recurrence in the observation group and no local recurrence in the control group. There was no significant difference in the 3-year overall survival rate between the two groups (P> 0.05). Postoperative cosmetic results showed that of the 45 patients in the observation group, 26 were excellent, 13 were good, 6 were poor, and the excellent and good rate was 86.67%. All patients in the control group had no breast. Conclusion Breast cancer breast conserving surgery for the treatment of breast cancer clinical effect is exact, and cosmetic effect is good. With the continuous improvement of breast cancer diagnostic techniques, breast conserving surgery will be more and more used in clinical.