不同手术方式对早期乳腺癌患者的术后恢复及并发症的影响-东南大学学报医学版

不同手术方式对早期乳腺癌患者的术后恢复及并发症的影响

单位：1. 东南大学医学院, 江苏南京 210009;
2. 东南大学附属中大医院乳腺中心, 江苏南京 210009

分类号：R737.9

出版年·卷·期（页码）：2018·37·第一期（45-49）

摘要：

目的：比较不同手术方式对早期乳腺癌患者围术期情况、术后并发症及术后恢复情况的影响。方法：对102例早期乳腺癌患者进行回顾性研究。42例行前哨淋巴结活检的病人设为研究组，60例行腋窝淋巴结清扫的病人设为对照组。比较2组患者的围术期情况、术后并发症及术后恢复情况。结果：2组患者的腋窝拔管时间、腋窝引流量、淋巴水肿主观评分有统计学差异，而手术时间、淋巴水肿客观测量、生存质量及美容效果无统计学差异。进一步的亚组分析显示保乳患者生存质量及美容效果优于全切患者。结论：采用保乳联合前哨淋巴结活检手术治疗早期乳腺癌，患者术后恢复情况良好，并发症少，值得推广。

Objective: To evaluate the influence of different types of surgical operations on the conditions of perioperative period, postoperative complication and postoperative recovery of patients with early-stage breast cancer. Methods: The 102 cases of patients were retrospectively studied. The 42 patients who accepted sentinel lymph node biopsy were chosen into the study group and the other 60 patients who accepted axillary lymph node dissection were chosen into the control group. The conditions of perioperative period, postoperative complication and postoperative recovery in the two groups were analyzed. Results: In comparisons of the two groups, there were significant differences in the removal of axillary drainage tube time, the total axillary drainage volume and the lymphedema subjective score. However, there were no significantly differences between the two groups in the operation time, the lymphedema subjective measurement, the quality of life and the cosmetic results. In the further analysis, the patients who received breast-conserving surgery had better quality of life and cosmetic result than the patients who received mastectomy. Conclusion: For patients with early-stage breast cancer, sentinel lymph node biopsy combined with breast-conserving surgery can have better effect.

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