【摘要】 目的比较保乳手术与乳房切除术治疗乳腺癌的效果。方法选取上饶市人民医院2015年3月—2016年3月收治的60例乳腺癌患者作为研究对象,根据手术方法的不同将其分为对照组(30例)与试验组(30例)。对照组采用乳房切除术治疗,试验组采用保乳术治疗,两组均于术后随访4年。比较两组的手术相关指标及术前、术后4年的生存质量及并发症发生情况。结果试验组患者的术中出血量少于对照组,住院时间、手术时间均短于对照组,差异有统计学意义(P<0.05);两组术前的环境状况、心理状态等生存质量评分比较,差异无统计学意义(P>0.05);两组患者术后4年的环境状况、心理状态等生存质量评分均高于术前,差异有统计学意义(P<0.05);试验组术后4年的环境状况、心理状态等生存质量评分均高于对照组,差异有统计学意义(P<0.05);试验组患者的术后并发症总发生率(3.33%)低于对照组(20.00%),差异有统计学意义(P<0.05)。结论实施保乳手术可有效缩短乳腺癌患者的住院时间与手术时间,减少术中出血量,提高远期生存质量,同时减少术后并发症的发生,安全性较好,治疗效果显著。更多还原

【Abstract】 Objective To compare the effects of breast-conserving surgery and mastectomy in the treatment of breast cancer. Methods A total of 60 breast cancer patients who were admitted to Shangrao People′ s Hospital from March2015 to March 2016 were selected as the research objects, and they were divided into the control group(30 cases) and the test group(30 cases) according to different surgical methods. The control group received mastectomy, and the test group received breast conserving surgery. Both groups were followed up for 4 years. The operation related indexes,quality of life before and 4 years after operation and the incidence of complications were compared between the two groups. Results The intraoperative blood loss of the test group was less than that of the control group, and the length of hospitalization and operation time of the test group were shorter than those of the control group, the differences were statistically significant(P<0.05). There was no significant difference in the quality of life scores between the two groups before surgery(P>0.05). The environmental status and mental status scores of the two groups were higher than those before surgery, the differences were statistically significant(P<0.05). The quality of life scores in the test group at 4 years after surgery were higher than those in the control group, including environmental conditions and psychological status, and the differences were statistically significant(P<0.05). The total incidence of postoperative complications in the test group was 3.33%, which was lower than that in the control group(20.00%), and the difference was statistically significant(P<0.05). Conclusion The implementation of breast-conserving surgery can effectively shorten the hospital stay and operation time of breast cancer patients, and reduce the amount of intraoperative blood loss, improve the longterm quality of life, and reduce the occurrence of postoperative complications, with good safety, and the treatment effect is remarkable.更多还原