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目的探讨不同手术方式治疗乳腺癌的临床疗效。方法选取2006年1月至2011年1月本院收治入院的乳腺癌患者40例,将其随机分为观察组和对照组各20例,对照组施行传统的乳腺切除手术方式,观察组施行保留胸大肌、胸小肌的改良根治术,术后观察两组的治疗效果。结果两组患者均顺利完成手术,随访1～2年,均未出现局部复发或远处转移,未见皮下积液、皮下出血及皮瓣坏死等。观察组平均手术时间及术中出血量均小于对照组,两组比较差异有统计学意义(P<0.05)。结论保留胸大肌、胸小肌的乳腺癌改良根治术,创伤小,提高了患者的生活质量。
Objective To investigate the clinical effects of different surgical methods in the treatment of breast cancer. Methods Forty patients with breast cancer admitted to our hospital from January 2006 to January 2011 were randomly divided into observation group (20 cases) and control group (20 cases). The control group was treated by conventional mastectomy and the observation group Pectoralis major, pectoralis minor modified radical mastectomy, the two groups were observed after treatment. Results The two groups of patients were successfully completed the operation, followed up for 1 to 2 years, no local recurrence or distant metastasis, no subcutaneous effusion, subcutaneous hemorrhage and flap necrosis. The average operation time and intraoperative blood loss in the observation group were less than those in the control group, with significant difference between the two groups (P <0.05). Conclusions The modified radical mastectomy for breast cancer with pectoralis major and pectoralis minor muscles is less invasive and the quality of life of patients is improved.