改良根治术与典型根治术治疗Ⅰ\Ⅱ期乳腺癌的疗效(1)
 |
| 第1页 |
参见附件(2034KB，2页)。
[摘要] 目的：探讨乳腺癌改良根治术与典型根治术治疗Ⅰ、Ⅱ期乳腺癌的疗效比较。方法：收集我院2006年2月~2008年2月Ⅰ、Ⅱ期乳腺癌患者62例，按所施行手术方法分为典型手术组(31例)和改良手术组(31例)。典型手术组给予典型根治术(Halsted手术)，改良手术组给予改良根治术(Patey手术及Auchincloss手术)。结果：平均每例患者清除淋巴结数，典型手术组18.0个，改良手术组11.6个。3年后随访两组生存率，典型手术组为93.6%，改良手术组为88.9%；改良手术组有1例局部复发。结论：采用改良根治术治疗Ⅰ、Ⅱ期乳腺癌，应对胸大肌血液供应血管及支配其运动的神经加强保护，以提高患者术后生存质量。
[关键词] 乳腺癌；改良根治术；典型根治术
[中图分类号] R737.9[文献标识码]B[文章编号]1673-7210(2011)08(a)-154-02
Therapeutic efficacy of modified radical operation and typical radical operation in the treatment of patients with phase Ⅰ and Ⅱ breast cancer
WU Shangxing
Departmen of General Surgery, the People's Hospital of Xinxing County, Guangdong Province, Xinxing 527400, China
[Abstract] Objective: To explore and compare the therapeutic efficacy of modified radical operation and typical radical operation in the treatment of patients with phase Ⅰ and phase Ⅱ breast cancer. Methods: 62 patients with phase Ⅰand phase Ⅱ breast cancer were admitted to our hospital from February 2006 to February 2008 were divided into typical operation group (31 cases) and modified operation group (31 cases). Typical operation group were treated with typical radical operation (Halsted operation) and modified operation group were treated with modified radical operation (Patey operation and Auchincloss operation). Results: The average number of lymph node dissected were 18.0 in typical operation group and 11.6 in modified operation group. The survival rate of 3 years follow-up was 93.6% in typical operation group and 88.9% in modified operation group. One case in modified operation group had recurrence. Conclusion: To improve the postoperative quality of life of patients with phase Ⅰ and Ⅱ breast cancer, special attention should be paid to protect the blood supply vessels and motor nerves of pectoralis major muscle when treating the patients with modified radical operation.
[Key words] Breast cancer; Modified radical operation; Typical radical operation
临床上对改良根治术能否达到典型根治术同样的疗效，它能否代替典型根治术，一直是临床医师的研究目标。在Halsted根治术的基础上，增加切除第1~5肋平面的内乳淋巴结，即典型根治术。1948年Patey提出清除腋窝及胸大、小肌间淋巴结只切除胸小肌而保留胸大肌，这一术式被业内称之为Patey 手术。我国最早实施改良手术是在1957年，吴祥德等对传统手术方式进行了改革，采取从腋窝进入的途径，尽量减少对胸外侧支配胸肌、胸内侧神经的损伤 ......
您现在查看是摘要介绍页，详见PDF附件(2034KB，2页)。