早期乳腺癌保乳手术与改良根治手术的临床效果比较

目的：比较早期乳腺癌保乳手术与改良根治手术的临床效果，探讨治疗早期乳腺癌的最佳手术方案。方法：选择早期乳腺癌患者138例，根据自愿的原则，分为保乳组（Bcs）和根治组（MRS），保乳组采取保乳手术方案，根治组采用改良根治手术方案，比较两组患者手术时间、术中出血量、切口长度、住院时间、术后并发症、美容效果满意率及患者预后情况。结果：两组患者手术时间、术中出血量、切口长度、住院时间、术后并发症、美容效果满意率比较，差异具有（高度）统计学意义（P〈0．01，P〈0．05）；术后12个月、18个月和24个月复发或死亡例数比较，差异无统计学意义（P〉0．05）。结论：早期乳腺癌患者外科手术治疗时，应首选保乳手术方式治疗。

Comparison of Breast-Conserving Surgery and Modified Radical Surgery in Early Breast Cancer

To compare the clinical effects of breast-conserving surgery and modified radical surgery treating in the early breast cancer and research the best surgery program in the early breast cancer. Method： Collect 138 early breast cancer patients, according to the principle of voluntary,76 patients were divided into BCS group with the breast-conserving surgery; 62 patients were divided into MRS group with the modified radical surgery,then compare the operation time,the blood loss, the incision length, the length of hospital stay, the postoperative complications, the satisfaction rate of cosmetic effect and the patients＇ prognosis. Result： There was a significant （P 〈0.01 ,P 〈0.05） in the operation time, the blood loss,the incision length,the length of hospital stay, the postoperative complications, the satisfaction rate of cosmetic effect; there was no significant （P〉0.05） in the number of relapse or death patients after 12 months, 18 months and 24 months.Conclusion： When we treat early breast cancer patients by the surgery, we should choose the breast-conserving surgery first.