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目的探讨乳腺癌改良根治术适应证、可行性及优缺点。方法回顾性分析1995年至2007年乳腺改良始根治术与Halsted根治术治疗效果对比。结果保留胸大肌、切除胸小肌的乳癌根治术,生存率和复发率与同期行Halsted根治术各期乳癌的治疗效果差异无统计学意义。结论乳腺癌改良根治术在上肢功能保存、胸部外观、皮瓣坏死等方面均明显优于Halsted乳癌根治术。
Objective To investigate the indications, feasibility and advantages and disadvantages of modified radical mastectomy for breast cancer. Methods A retrospective analysis was performed between 1995 and 2007 of modified radical mastectomy and Halsted radical mastectomy. Results The results showed that there was no significant difference in the therapeutic effect between breast cancer treated with Halsted radical mastectomy and breast cancer radical mastectomy. Conclusion Modified radical mastectomy is superior to Halsted radical mastectomy in preservation of upper extremity function, appearance of thorax and necrosis of skin flap.