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改良根治术治疗乳腺癌的疗效分析
http://www.100md.com 《中华现代外科学杂志》 2005年第23期
改良,,乳腺肿瘤;胸肌;改良根治术,1临床资料,2结果,3讨论,【参考文献】
     【摘要】 目的 探讨改良乳腺癌根治术的临床疗效。方法 回顾性分析281例乳腺癌(Ⅰ期87例,Ⅱ期194例)施行改良乳腺癌根治术(保留胸大、小肌)的治疗结果。结果 281例患者中术后发生皮下积液17例,切口皮缘坏死16例,上肢淋巴性水肿(轻度)12例。3年生存率为85.6%,5年生存率70.8%。结论 保留胸大、小肌,重视保护胸外侧支神经可避免胸肌挛缩导致的上肢运动障碍,重视术中创面的处理能有效地预防局部复发和转移,重视术后综合性治疗可提高远期疗效。

    【关键词】 乳腺肿瘤;胸肌;改良根治术

    Analysis of treatment in modified radical mastectomy of breast cancer

    WU Shao-hao,XIAO Jianqiu,LI Hao,et al.

    Department of Trauma Surgery,Shenzhen Second Peoples Hospital,Shenzhen 518035,China.

    【Abstract】 Objective To investigate the treatment in modified radical mastectomy of breast cancer.Methods Data on the 281 cases of breast cancer (87 cases in stage Ⅰ,194 cases in stage Ⅱ) treated with modifical radical mastectomy were retrospective summarized.Results Among 281 cases,there were 17 cases of seroma formation,16 cases of skin flay necrosis,12 cases of upper limb lymphoedema.Three-year survival rates was 85.6%,Five-year survival rate 70.8%.Conclusion Keeping pectoralis major and pectoralis minor,protecting the lateral thoracic never from upper limb dyskinesia,better treating with incision for prevention of metastasis and recrudescence are crucial for better curative effect. ......

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