摘要
目的 分析在乳腺癌患者的临床治疗方案中应用保乳术治疗的影响效力。方法 回顾性收集分析我院2020年1月-2020年12月接受了保乳术治疗的40例乳腺癌患者资料，将其设定为观察组，再回顾性收集分析我院2019年1月-2019年12月接受了常规根治术治疗的40例乳腺癌患者资料，将其设定为对照组，对患者随访3年，对比术后的并发症率、3年生存率以及局部复发率、同时对比两组患者的术后乳房外观评分以及术后生活质量。结果 对所有患者随访后发现，两组术后的3年生存率以及局部复发率对比差异无统计学意义，（P﹥0.05）。而观察组术后并发症概率以及乳房外观评分以及 FACT-B乳腺癌患者生活质量评分优于对照组，指标对比有统计学意义（P﹤0.05）。结论 保乳治疗相较常规根治术，生存率以及复发率无显著区别，但保乳治疗并发症概率低、且在保留女性乳房外观等有显著优势，可促使患者自信心增高，生活质量改善。
关键词： 保乳术；乳腺癌；妇科肿瘤
Abstract
Objective To analyze the impact and effectiveness of breast-conserving surgery in clinical treatment plans for breast cancer patients. Methods The data of 40 breast cancer patients who received breast-conserving surgery in our hospital from January 2020 to December 2020 were retrospectively collected and analyzed. They were set as the observation group, and then the data of 40 breast cancer patients in our hospital from January 2019 to December 2020 were retrospectively collected and analyzed. Data on 40 breast cancer patients who underwent conventional radical surgery in December 2019 were set as the control group. The patients were followed up for 3 years to compare the postoperative complication rate, 3-year survival rate, and local recurrence rate. At the same time, The postoperative breast appearance scores and postoperative quality of life of the two groups of patients were compared. Results After follow-up of all patients, it was found that there was no statistically significant difference in the 3-year survival rate and local recurrence rate between the two groups (P﹥0.05). The probability of postoperative complications, breast appearance score and FACT-B quality of life score of breast cancer patients in the observation group were better than those in the control group, and the index comparison was statistically significant (P﹤0.05). Conclusion Compared with conventional radical surgery, breast-conserving therapy has no significant difference in survival rate and recurrence rate. However, breast-conserving therapy has low complication rate and has significant advantages in preserving the appearance of female breasts. It can improve patients' self-confidence and improve their quality of life. improve.
Key words： Breast conserving surgery; Breast cancer; Gynecological tumors
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