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探讨老年乳腺癌外科术式与治疗效果的关系。方法６７例老年乳腺癌患者（年龄大于６５岁），其中行乳腺癌根治术３１例，改良根治术３６例。７０例非老年乳腺癌患者（年龄小于６５岁），其中行乳腺癌根治术３７例，改良根治术３３例。结果老年乳腺癌术后疗效与非老年组无显著差异（Ｐ＞０．０５），老年乳腺癌根治术与改良根治术疗效无显著差异（Ｐ＞０．０５），但Ⅰ～Ⅱ期５年生存率明显高于Ⅲ期患者（Ｐ＜０．０５）。结论老年乳腺癌应以手术治疗为主，尤其是Ⅰ～Ⅱ期患者，应采用手术创伤较小的改良根治术为宜
To explore the relationship between surgery and efficacy of elderly breast cancer surgery. Methods Ninety-seven elderly patients with breast cancer (age > 65 years) included 31 cases of radical mastectomy and 36 cases of modified radical mastectomy. 70 cases of non-elderly breast cancer patients (age less than 65 years old), including 37 cases of radical mastectomy and modified radical mastectomy in 33 cases. Results There was no significant difference in postoperative efficacy between elderly patients with non-elderly patients (P>0.05). There was no significant difference in efficacy between elderly patients with radical mastectomy and modified radical mastectomy (P>0.05), but I-II period 5 years The survival rate was significantly higher than that of stage III patients (P<0.05). Conclusion Surgical treatment should be the main treatment for elderly breast cancer, especially for stage I-II patients. Modified radical mastectomy with less surgical trauma should be appropriate.