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目的:对比分析保乳改良根治术与传统改良根治术治疗乳腺癌的临床疗效。方法:将行手术治疗的415例女性乳腺癌患者按手术方式分为保乳改良根治术组76例与传统改良根治术组339例,两组患者术后均接受辅助治疗。比较两组患者术后满意度,术后并发症,复发、转移及死亡率,评价保乳改良根治术的临床疗效。结果:两组患者的发病年龄,术后病理类型,失随访情况,转移、死亡及复发率比较无统计学意义(P>0.05)。保乳改良根治术组皮下积液发生率明显低于传统改良根治术组(P<0.05),术后满意度明显优于传统改良根治术组(P<0.05),其他并发症比较无显著差异(P>0.05)。结论:保乳改良根治术能得到和传统改良根治术同样的疗效,且具有损伤小、并发症少、外形美观、术后满意度高等优势。
Objective: To compare the clinical curative effect of conservative modified radical mastectomy and traditional modified radical mastectomy on breast cancer. Methods: A total of 415 female patients with breast cancer undergoing surgical treatment were divided into conservative modified radical mastectomy group (76 cases) and traditional modified radical mastectomy group (339 cases). Both groups received adjuvant therapy after operation. The postoperative satisfaction, postoperative complications, recurrence, metastasis and mortality of the two groups were compared to evaluate the clinical efficacy of modified radical mastectomy. Results: There was no significant difference in age of onset, postoperative pathological type, loss of follow-up, metastasis, death and relapse rate between the two groups (P> 0.05). The incidence of subcutaneous effusion in modified radical mastectomy group was significantly lower than that in the traditional modified radical mastectomy group (P <0.05), and the postoperative satisfaction was significantly better than that in the traditional modified radical mastectomy group (P <0.05). There was no significant difference in other complications (P> 0.05). CONCLUSION: The modified radical mastectomy can obtain the same curative effect as the traditional modified radical mastectomy, and has the advantages of less injury, fewer complications, beautiful appearance and high postoperative satisfaction.