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目的:重点探索早期腋窝清扫手术对老年乳腺癌患者预后造成的影响。方法:选取的研究对象是2011年1月初至2013年12月底在我院接受治疗的140例老年乳腺癌患者患者,分析患者的临床特点、临床资料及影响预后的因素。结果:分析单因素,淋巴结转移、肿瘤体积增大与疾病进展呈现正相关关系,激素治疗、辅助化疗与疾病进展呈现负相关关系。分析多因素,对照组和观察组疾病进展的风险没有显著差异,存在统计学意义(P<0.05)。手术过后,两组老年乳腺癌患者的生活质量均获得了不同程度的改善,观察的生活质量改善程度显然优于对照组,存在统计学意义(P<0.05)。结论:老年乳腺癌患者的病理特点和临床特点较为显著,在综合考虑的基础上,确定乳腺癌手术中是否放弃腋窝淋巴结清扫。
Objective: To explore the impact of early axillary dissection on the prognosis of elderly patients with breast cancer. Methods: The selected subjects were 140 elderly patients with breast cancer who were treated in our hospital from the beginning of January 2011 to the end of December 2013. The clinical characteristics, clinical data and prognostic factors were analyzed. Results: There was a positive correlation between single factor, lymph node metastasis, tumor volume and disease progression. There was a negative correlation between hormone therapy and adjuvant chemotherapy and disease progression. There were no significant differences in the risk of disease progression between the control group and the observation group, with statistical significance (P <0.05). After surgery, the quality of life of the two groups of elderly patients with breast cancer have been improved to varying degrees, the quality of life observed improved significantly better than the control group, there was a statistically significant (P <0.05). Conclusion: The pathological features and clinical features of elderly patients with breast cancer are more significant. On the basis of comprehensive consideration, whether to abandon axillary lymph node dissection in breast cancer surgery is determined.