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目的:观察保乳手术联合放射治疗乳腺癌患者临床疗效。方法:选取我院收治的乳腺癌患者84例,均采取保乳手术联合放射治疗,观察临床疗效。结果:所有患者手术均获得成功,84例乳腺癌患者均在出院后进行随访,平均随访时间(2.1±0.4)年,各项检查未发现复发迹象。在放疗的期间内,乳房出现刺痛、发痒的不适患者20例,皮肤色素沉着、红斑的患者37例,在治疗后发生湿性脱皮患者10例,放射性食管炎患者8例;在放疗结束1个月,出现反射性肺炎患者2例。手术及放疗后,患者乳房的美容效果中优秀患者49例,良好患者29例,较差患者6例;行肿瘤扩大切除术患者优秀率高于行象限切除术患者,差异有统计学意义(P<0.05)。结论:保乳手术联合放疗可保证治疗效果,同时降低并发症的发生,有利于美观,是一种优秀的乳腺癌治疗方法。
Objective: To observe the clinical efficacy of breast-conserving surgery combined with radiotherapy in patients with breast cancer. Methods: Eighty-four cases of breast cancer admitted to our hospital were treated with breast-conserving surgery combined with radiotherapy to observe the clinical effect. RESULTS: All patients underwent successful surgery. All 84 patients with breast cancer were followed up after discharge. The average follow-up time was (2.1 ± 0.4) years. No recurrence was found in all the tests. During the radiotherapy period, there were 20 patients with tingling and itchy discomfort in the breast, 37 patients with skin pigmentation and erythema, 10 patients with wet peeling after treatment and 8 patients with radiation esophagitis. At the end of radiotherapy 1 Month, there are 2 cases of patients with reflective pneumonia. After surgery and radiotherapy, there were 49 excellent patients with cosmetic effects of breast, 29 good patients and 6 poor patients. The excellent rate of patients with tumor enlargement resection was higher than that of quadrant resection, the difference was statistically significant (P <0.05). Conclusion: Breast-conserving surgery combined with radiotherapy can ensure the therapeutic effect, reduce the incidence of complications, is good for esthetics, and is an excellent treatment for breast cancer.