评估前哨淋巴结活检结合保乳手术治疗早期乳腺癌的临床效果和有效性

Jiehou Fan
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摘要

目的分析前哨淋巴结活检(SLNB)联合保乳手术对早期乳腺癌临床治疗的影响。方法:选取2020年9月-2022年9月德州市第二人民医院乳腺外科二病区收治的早期乳腺癌患者80例,采用随机数字表法随机分为对照组和观察组,每组40例。对照组行改良根治性乳房切除术,观察组行SLNB联合保乳手术。比较两组的手术疗效和预后。结果观察组的手术时间、住院时间和拔管时间均短于对照组,术中失血量和引流量均少于对照组(P < 0.05)。此外,观察组的乳房美容和生活质量优良率更高,并发症发生率更低,明显优于对照组(P < 0.05)。两组的转移率和复发率无统计学差异(P > 0.05)。结论对于早期乳腺癌患者来说,SLNB 和保乳手术的联合治疗效果显著,并发症较少,可提高乳房美容效果和生活质量。
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Assessing the Clinical Efficacy and Effectiveness of Sentinel Lymph Node Biopsy Combined with Breast-Conserving Surgery for Early-Stage Breast Cancer
Objective: To analyze the impact of sentinel lymph node biopsy (SLNB) combined with breast-conserving surgery in the clinical treatment of early-stage breast cancer. Methods: 80 patients with early-stage breast cancer admitted to the Second Department of Breast Surgery at Dezhou Second People’s Hospital from September 2020 to September 2022 were selected and randomly divided into a control group and an observation group using the random number table method, with 40 cases in each group. The control group underwent a modified radical mastectomy, while the observation group underwent SLNB combined with breast-conserving surgery. The surgical efficacy and prognosis between the two groups were compared. Results: The observation group exhibited shorter operation, hospitalization, and extubation times, as well as less intraoperative blood loss and drainage volume, all of which were significantly better than those in the control group (P < 0.05). Additionally, the observation group demonstrated a higher rate of excellent breast cosmetology and quality of life, with lower complication incidence, significantly outperforming the control group (P < 0.05). There was no statistical difference in the metastasis rate and recurrence rate between the two groups (P > 0.05). Conclusion: The combination of SLNB and breast-conserving surgery proves highly effective for patients with early-stage breast cancer, presenting fewer complications and enhancing both breast cosmetic outcomes and quality of life.
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