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早期乳腺癌保乳手术的临床意义及其对患者生活质量的影响。

Clinical significance of breast-conserving surgery for early breast cancer and its impact on patient life quality of life.

作者信息

Wang Ziliang, Han Xiaoting

机构信息

Department of Thyroid Breast Surgery, Weihai Central Hospital, Weihai 264400, P.R. China.

出版信息

J BUON. 2019 Sep-Oct;24(5):1898-1904.

Abstract

PURPOSE

To explore the clinical significance of breast-conserving surgery for early breast cancer and its impact on patient's life quality.

METHODS

We retrospectively analyzed 156 patients with early breast cancer who were admitted to Weihai Municipal Hospital between August 2013 and January 2015. Among them, there were 82 cases of breast-conserving surgery (the experiment group) and 74 cases of conventional radical surgery (the control group). Hospitalization time, survival rate, metastasis rate, recurrence rate, complications, and life quality within two years were compared between the two groups.

RESULTS

There were no significant differences in the survival rate, recurrence rate, and metastasis rate within 2 years between the two groups (p>0.05). However, the cosmetic effect, the amount of intraoperative blood loss average drainage flow volume, time of surgery, period of hospitalization, length of incision and incision infection rate after surgery were all lower in the experiment group. Patients in the experiment group had better life quality and a lower rate of anxiety.

CONCLUSIONS

The breast-conserving surgery had a positive impact on patients with early breast cancer. Patient who received this surgery had a lower rate of blood loss and smaller incision. The surgery duration was shorter and postoperative recovery time was shorter. Moreover, breast-conserving surgery had a better cosmetic effect. The Breast-conserving surgery is worthy of further application in the treatment of early breast cancer.

摘要

目的

探讨早期乳腺癌保乳手术的临床意义及其对患者生活质量的影响。

方法

回顾性分析2013年8月至2015年1月在威海市立医院收治的156例早期乳腺癌患者。其中,保乳手术82例(实验组),传统根治性手术74例(对照组)。比较两组患者的住院时间、生存率、转移率、复发率、并发症及两年内的生活质量。

结果

两组患者2年内的生存率、复发率和转移率差异无统计学意义(p>0.05)。然而,实验组的美容效果、术中出血量、平均引流流量、手术时间、住院时间、切口长度及术后切口感染率均较低。实验组患者生活质量较好,焦虑率较低。

结论

保乳手术对早期乳腺癌患者有积极影响。接受该手术的患者出血量少、切口小。手术时间短,术后恢复时间短。此外,保乳手术美容效果更好。保乳手术在早期乳腺癌治疗中值得进一步应用。

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