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目的比较不同乳房全切术在中青年乳腺癌中的治疗效果。方法选取医院收治的早期中青年乳腺癌患者43例为观察组,给予保乳术(保留乳头乳晕的乳房全切术)治疗。选取同期收治的采用传统手术治疗的38例中青年乳腺癌患者为对照组,比较2组的手术情况、术后恢复情况以及术后外观。结果观察组手术切口、手术时间均短于对照组,术中出血量、引流量均少于对照组(P<0.01);观察组住院时间为(9.65±2.73)d,短于对照组的(14.95±4.68)d(P<0.01)。观察组术后并发症发生率低于对照组,乳房外观优良率优于对照组(P<0.05或P<0.01)。结论保留乳头乳晕的乳房全切术能够明显缩短手术时间,减少术中出血量、引流量,减少并发症及保持良好的乳房外观,有助于术后乳房重建,符合中青年乳腺癌患者的手术需求。
Objective To compare the effects of different mastectomy in middle-aged and young patients with breast cancer. Methods Forty-three patients with early-stage breast cancer who were treated in our hospital were selected as the observation group and underwent breast-conserving surgery (total mammary excision with nipple areola). Thirty-eight cases of middle-aged and young patients with breast cancer treated by traditional surgery were selected as the control group. The operation, postoperative recovery and postoperative appearance of the two groups were compared. Results The surgical incision and operation time in the observation group were shorter than those in the control group. The amount of bleeding and drainage in the observation group were less than those in the control group (P <0.01). The hospitalization time in the observation group was (9.65 ± 2.73) d, shorter than that in the control group 14.95 ± 4.68) d (P <0.01). The incidence of postoperative complications in the observation group was lower than that in the control group, and the excellent and good rate of breast appearance was better than that of the control group (P <0.05 or P <0.01). Conclusions Total mammotomy with preserved nipple areola can shorten the operation time, reduce the amount of intraoperative blood loss, drainage volume, reduce complications and maintain a good appearance of the breast, which is helpful to the postoperative reconstruction of the breast, which is in line with the surgery of young and middle-aged patients with breast cancer demand.