【摘要】 目的探讨在使用乳腺癌改良根治术对患者术后生存率以及腋窝淋巴结转移的效果。方法收集2017年4月至2018年3月我院收治的乳腺癌癌患者58例,随机分为参照组和研究组,每组各29例,研究组使用乳腺癌改良根治术,参照组使用乳腺癌保乳术,分析两组患者1年、3年以及5年的生存率和复发率以及术后并发症的发生率和腋窝淋巴结转移率。结果两组1年的生存率和复发率无差异(P>0.05),研究组3年和5年生存率高于参照组,复发率和并发症发生率均低于参照组,无腋窝淋巴结转移情况(P<0.05)。结论乳腺癌改良根治术降低术后3年和5年的复发率,降低并发症,提高术后3年和5年的生存率,并且均无无腋窝淋巴结转移情况,可以在治疗乳腺癌中推广应用。更多还原

【Abstract】 Objective To explore the effects of modified radical mastectomy on postoperative survival rate and metastasis to axillary lymph nodes of the patients with breast cancer. Methods A total of 58 breast cancer patients who were treated in the Second Affiliated Hospital of Qiqihaer Medical University from April 2017 to March 2018 were selected for study. They were randomly divided into a control group and a study group, with 29 cases in each group. Modified radical mastectomy was adopted in the study group, while breast-conserving surgery was applied in the control group. The survival rates, recurrence rates, incidences of postoperative complications, and the metastasis rates to axillary lymph nodes one year, three years, and five years after surgery were analyzed. Results There was no difference in 1-year survival rate and 1-year recurrence rate between the two groups(P>0.05). Three years and five years after surgery, the survival rates of the patients in the study group were higher than those in the control group,and the recurrence rates and the occurrence rates of complications were lower than those in the control group, without metastasis to axillary lymph nodes(P<0.05). Conclusion Modified radical mastectomy for the breast cancer can reduce the 3-year and 5-year recurrence rates after surgery, reduce the occurrence of complications, and improve the 3-year and 5-year survival rates after surgery, without metastasis to axillary lymph nodes. Therefore, it can be widely applied in the treatment of the breast cancer.更多还原