保乳手术与改良根治术对乳腺癌患者的应用(1)
[摘要 目的 研究乳腺癌患者實施保乳手术的应用价值。方法 方便选择60例于该院手术治疗的乳腺癌患者，纳入时间为2015年1月—2018年1月，采用抽签法将其分为实验组与参照组，每组30例。其中参照组采用改良根治术，实验组行保乳手术，对比2组患者乳腺癌生存质量评分、复发及术后并发症发生情况。结果 手术前2组患者乳腺癌生存质量评分及乳腺癌复发情况差异无统计学意义(P>0.05)，手术后2组患者生存质量得以显著改善，与参照组(12.03±4.38)分、(13.53±4.55)分、(11.59±3.22)分、(16.4±3.86)分、(16.22±5.07)分相比，实验组生理(20.58±3.62)分、心理(19.68±3.08)分、社会(16.48±2.08)分、功能(21.26±3.11)分、附加关注(22.63±2.08)分等评分较低，差异有统计学意义(t=8.241、6.131、6.987、5.370、6.407，P<0.05)，实验组感染、出血、上肢感觉障碍、水肿、积液等并发症发生率(10.00%)低于参照组(40.00%)，组间差异有统计学意义(χ2=7.200，P<0.05)。 结论 保乳手术能够保障患者人体美学要求，在提升患者生存质量方面起到重要作用。
, 百拇医药
关键词 保乳手术;改良根治术;乳腺癌;复发;生存质量
中图分类号 R737 文献标识码 A 文章编号 1674-0742(2019)09(c)-0118-03
Abstract Objective To study the application value of breast conserving surgery in breast cancer patients. Methods Sixty patients with breast cancer who underwent surgery in our hospital were convenient enrolled. The enrollment time was from January 2015 to January 2018. They were divided into experimental group and reference group by drawing method， 30 cases in each group. The reference group was treated with modified radical mastectomy. The experimental group underwent breast-conserving surgery. The survival quality score， recurrence and postoperative complications of the two groups were compared. Results There were no differences in breast cancer quality of life scores and breast cancer recurrence between the two groups before surgery，the difference was not statistically significant(P>0.05). The quality of life of the two groups was significantly improved after surgery， compared with the reference group (12.03±4.38)points， (13.53± 4.55) points， (11.59±3.22) points， (16.4±3.86) points， (16.22±5.07) points， experimental group physiology (20.58±3.62) points， psychology (19.68±3.08) points， social (16.48±2.08) points， function (21.26±3.11) points， additional attention (22.63±2.08) points and other scores are lower (t=8.241， 6.131， 6.987， 5.370， 6.407， P<0.05). The incidence of complications such as infection， hemorrhage， upper limb sensory disturbance， edema， and effusion in the experimental group (10.00%) was lower than that in the reference group (40.00%)， and there was a significant difference between the groups，the difference was statistically significant(χ2=7.200， P<0.05). Conclusion Breast-conserving surgery can guarantee the aesthetic requirements of patients and play an important role in improving the quality of life of patients.
Key words] Breast-conserving surgery; Modified radical mastectomy; Breast cancer; Recurrence; Quality of life, 百拇医药(单康明)
, 百拇医药
关键词 保乳手术;改良根治术;乳腺癌;复发;生存质量
中图分类号 R737 文献标识码 A 文章编号 1674-0742(2019)09(c)-0118-03
Abstract Objective To study the application value of breast conserving surgery in breast cancer patients. Methods Sixty patients with breast cancer who underwent surgery in our hospital were convenient enrolled. The enrollment time was from January 2015 to January 2018. They were divided into experimental group and reference group by drawing method， 30 cases in each group. The reference group was treated with modified radical mastectomy. The experimental group underwent breast-conserving surgery. The survival quality score， recurrence and postoperative complications of the two groups were compared. Results There were no differences in breast cancer quality of life scores and breast cancer recurrence between the two groups before surgery，the difference was not statistically significant(P>0.05). The quality of life of the two groups was significantly improved after surgery， compared with the reference group (12.03±4.38)points， (13.53± 4.55) points， (11.59±3.22) points， (16.4±3.86) points， (16.22±5.07) points， experimental group physiology (20.58±3.62) points， psychology (19.68±3.08) points， social (16.48±2.08) points， function (21.26±3.11) points， additional attention (22.63±2.08) points and other scores are lower (t=8.241， 6.131， 6.987， 5.370， 6.407， P<0.05). The incidence of complications such as infection， hemorrhage， upper limb sensory disturbance， edema， and effusion in the experimental group (10.00%) was lower than that in the reference group (40.00%)， and there was a significant difference between the groups，the difference was statistically significant(χ2=7.200， P<0.05). Conclusion Breast-conserving surgery can guarantee the aesthetic requirements of patients and play an important role in improving the quality of life of patients.
Key words] Breast-conserving surgery; Modified radical mastectomy; Breast cancer; Recurrence; Quality of life, 百拇医药(单康明)