临床普外科电子杂志 ›› 2025, Vol. 13 ›› Issue (2): 34-.

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保乳手术与乳腺癌改良根治术对早期乳腺癌患者近期疗效的影响分析

  

  1. 赤峰市妇产医院 普通外科,内蒙古 赤峰 024005
  • 出版日期:2025-04-01 发布日期:2025-08-07

Analysis of the short-term effect of breast conserving surgery and modified radical breast cancer surgery on early breast cancer patients

  1. General Surgery Department of Chifeng Obstetrics and Gynecology Hospital, Inner Mongolia Chifeng 024005, China
  • Online:2025-04-01 Published:2025-08-07

摘要:

目的 分析保乳手术与乳腺癌改良根治术对早期乳腺癌患者近期疗效的影响。方法 选取赤峰市妇产医院 2022 年 1 月至 2024 年 12 月确诊并入院治疗的 80 例早期乳腺癌患者,均为女性,采用随机数字表法分为对照组和观察组,每组各 40 例。对照组采用乳腺癌改良根治术治疗,观察组采用保乳手术 + 腋窝前哨淋巴结活检术治疗,对比两组手术相关指标、并发症发生情况。术后均追踪随访 3 个月,了解复发情况。结果 观察组患者的手术时间、住院时间均短于对照组,术中出血量及术后引流量均少于对照组,差异均有显著性(P < 0.001)。观察组患者的并发症总发生率为 7.5%,显著低于对照组(30.00%),差异有显著性(P < 0.05)。结论 与乳腺癌改良根治术相比,保乳手术能够缩短早期乳腺癌患者的手术时间与住院时间,降低切口相关并发症发生率,减少术中出血量以及术后引流量。

关键词: 乳腺癌, 早期, 保乳手术, 改良根治术

Abstract:

Objective To analyze the short-term effect of breast conserving surgery and modified radical surgery for breast cancer on early breast cancer patients. Method 80 cases of early breast cancer patients diagnosed and hospitalized in Chifeng Maternity Hospital from January 2022 to December 2024 were selected, all of whom were women. They were divided into groups by random number table, 40 cases in each group. The control group was treated with modified radical mastectomy for breast cancer, and the observation group was treated with breast conserving surgery+axillary sentinel lymph node biopsy. All patients were followed up for 3 months after surgery to understand the recurrence situation. Result The surgical time and hospitalization time of the observation group were shorter than those of the control group, and the intraoperative blood loss and postoperative drainage volume were less than those of the control group, with significant differences (P < 0.001). The total incidence of complications in the observation group was 7.5%, significantly lower than that in the control group (30.00%), and the difference was significant (P < 0.05). Conclusion Compared with modified radical mastectomy for breast cancer, breast conserving surgery can shorten the operation time and hospital stay of early breast cancer patients, reduce the incidence of incision related complications, and reduce intraoperative bleeding and postoperative drainage volume.

Key words: Breast cancer, Early stage, Breast conserving surgery, Modifi ed radical mastectomy