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目的:探讨早期乳腺癌患者行保乳手术治疗的临床效果。方法:选取于我院接受治疗的早期乳腺癌患者为研究对象,根据患者意愿,采取保乳手术和根治术2种手术方式治疗。其中50例乳腺癌患者行保乳手术,为观察组;另选取50例行根治术的乳腺癌患者,为对照组。对比2组患者5年内的生存率、复发率和转移率,与术后的美容效果综合考虑,评价早期乳腺癌患者行保乳手术治疗的临床效果。结果:2组患者5年内的生存率、复发率与癌细胞转移率差异不明显,不具备统计学意义,P>0.05。但从患者乳房的大小、形态和触感3方面比较,观察组的美容效果明显优于对照组。结论:保乳手术和传统的根治术相比,生存率、复发率和转移率等方面均差异不大,疗效明确。但是美容效果却有明显的优势。因此,保乳手术将作为今后治疗乳腺癌的新方向,值得临床推广。
Objective: To investigate the clinical effect of breast-conserving surgery in patients with early-stage breast cancer. Methods: Selected patients with early stage breast cancer treated in our hospital as the research object, according to the wishes of the patients, breast-conserving surgery and radical operation of two kinds of surgical treatment. 50 cases of breast cancer patients underwent breast-conserving surgery for the observation group; the other 50 cases of radical mastectomy breast cancer patients, as the control group. Compare the 5-year survival rate, recurrence rate and metastasis rate of 2 groups of patients with cosmetic effect after surgery to evaluate the clinical effect of breast-conserving surgery in patients with early-stage breast cancer. Results: There was no significant difference between the two groups in the 5-year survival rate, recurrence rate and metastasis rate of cancer cells, which was not statistically significant (P> 0.05). However, from the patient’s breast size, shape and feel three aspects, the observation group cosmetic effect was significantly better than the control group. Conclusion: Compared with traditional radical mastectomy, the survival rate, recurrence rate and metastasis rate of breast-conserving surgery have no significant difference, and the curative effect is clear. However, the cosmetic effect has obvious advantages. Therefore, breast-conserving surgery will serve as a new direction for the future treatment of breast cancer, it is worth clinical promotion.