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目的研究乳腺癌改良根治术II式(Auchincloss手术)改进后的临床意义。方法随机选择女性乳腺癌患者56例,其中30例行Auchincloss手术,26例行改进的Auchin级淋巴结较对照组更彻底(P<0.05),改进组皮瓣坏死、皮下积液、胸大肌萎缩发生率较对照组明显降低(P<0closs手术。结果改进组Ⅰ、Ⅱ级和Ⅲ级淋巴结转移的患者较对照组多(P<0.05),改进组清除Ⅲ.05)。结论通过手术技巧的改进,不仅拓展了Auchincloss手术适应证,而且明显降低了皮瓣坏死、皮下积液及胸肌萎缩等并发症的发生率,提高了患者术后的生活质量,更有利于综合治疗的实施。
Objective To study the clinical significance of improved modified radical mastectomy for breast cancer type II (Auchincloss surgery). Methods Sixty-six patients with breast cancer were randomly selected. Auchincloss was performed in 30 of them. Auchin-grade lymph nodes improved in 26 patients were more complete than those in control group (P <0.05). Skin flap necrosis, subcutaneous effusion and pectoralis major atrophy were improved (P <0closs operation.Results Improved group Ⅰ, Ⅱ and Ⅲ grade lymph node metastasis in patients with more than the control group (P <0.05), the improvement group clearance Ⅲ.05). Conclusion The improvement of surgical technique not only expands the indication of Auchincloss operation but also significantly reduces the incidence of complications such as necrosis of skin flap and subcutaneous fluid and chest muscle atrophy and improves the postoperative quality of life and is more conducive to comprehensive treatment The implementation of.