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目的探讨早期乳腺癌行保乳切除+前哨淋巴结术的近期、远期临床疗效以及并发症。方法回顾性分析我院2008年1月~2014年2月行保乳切除+前哨淋巴结活检术治疗的早期乳腺癌患者的临床资料。结果26例患者手术过程顺利。术后3例出现皮下积液,其中2例行再次导管置入,3例皮瓣坏死,2例出现上肢运动功能障碍。中位随访时间为26.3月。1例患者出现局部复发,另1例出现远处转移(骨)。总体美容效果优良率为84.6%。结论对早期乳腺癌行保乳切除+前哨淋巴结活检术能够取得较好的治疗效果,且能保持乳房的外形,维持上肢功能,减少手术并发症。“,”Objective To investigate the ef ect of breast conserving surgery plus sentinel lymph node biopsy (SLNB)of early breast cancer.Methods Retrospective analysis was implemented on 26 early breast cancer patients in our hospital from January 2008 to February 2014,who had undergone breast conserving surgery plus SLNB.Results 26 patients during surgery smoothly.3 cases of postoperative seroma, including two routine again catheter,three cases of flap necrosis,two cases of upper extremity motor dysfunction.The median fol ow-up time was 26.3 months.One patient had local recurrence,and 1 patient had distant metastases(bone).Overal excel ent cosmetic results was 84.6%.Conclusion Breast conserving surgery plus SLNB can achieve bet er therapeutic ef ect,and can maintain the shape of the breast,maintain upper limb function,reduce surgical complications.