整形保乳术与常规保乳术治疗早期乳腺癌临床对比研究

王金玲

郑州大学第二附属医院，河南郑州　450000

整形保乳术与常规保乳术治疗早期乳腺癌临床对比研究

王金玲

郑州大学第二附属医院，河南郑州450000

目的 分析整形保乳术与常规保乳术在治疗早期乳腺癌中的临床效果。方法 整群选取2014年8月—2015年11月期间该院妇科收治的早期乳腺癌患者130例，将所有患者随机分为两组，各65例。对照组采用常规保乳术治疗，观察组采用整形保乳术治疗，分析比较两组患者手术和住院情况、术后美容优良率、术后并发症。结果 观察组术中出血、住院时间、手术时间与对照组相比差异有统计学意义（P＜0.05）；观察组美容优良率为98.46%、切口愈合不良及血肿发生率分别为4.62%、1.54%，均明显低于对照组，差异有统计学意义（P＜0.05）。结论整形保乳术治疗早期乳腺癌美容效果好，手术安全性高，值得推广。

整形保乳术；常规保乳术；早期乳腺癌

［Abstract］Objective To analyze the clinical efficacy of plastic and conventional breast-conserving surgery in treatment of early breast cancer.Methods Group selection 130 cases of patients with early breast cancer admitted into the gynecology of hospital from August 2014 to November 2015 were randomly divided into two groups，65 cases in each.Control group was treated with conventional breast-conserving surgery and observation group was treated with plastic breast-conserving surgery.The surgery，hospitalization，the excellent rate of postoperative beauty and postoperative complications of patients in two groups were compared and analyzed.Results There was significant difference in intraoperative bleeding and hospital stays between the two groups（P＜0.05）；The excellent beauty rate，the incidence of poor wound healing and hematoma were 98.46%，4.62%，1.5%，respectively，which were significantly lower than control group（P＜0.05）.Conclusion Plastic breastconserving surgery in treatment of early breast cancer has good cosmetic effect and high safety of operation，which is worthy of generalization.

［Key words］Plastic breast-conserving surgery；Conventional breast-conserving surgery；Early breast cancer

随着生活节奏的加快，人们的生活压力越来越大，导致女性乳腺癌发病率逐年上升［1］。研究报道显示［2］，乳腺癌发病逐渐趋于年轻化，且早期治愈率较高，高达90%以上。目前临床上针对乳腺癌的治疗主要采用手术方式，通过手术将癌细胞及病灶切除来缓解患者的症状［3］。该研究整群选取2014年8月—2015年11月期间该院妇科收治的早期乳腺癌患者130例，分析整形保乳术与常规保乳术在治疗早期乳腺癌中的临床效果，现报道如下。

1　资料与方法

1.1一般资料

整群选取该院妇科收治的早期乳腺癌患者130例，将所有患者随机分为两组。观察组65例，年龄29～75岁，平均年龄（42.85±2.25）岁。……