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1、微创乳腔镜手术治疗乳腺癌50例临床效果分析刘训碧周永安湖北省黄石市中心医院普爱院区乳腺肿瘤外科摘要:冃的探讨微创腔镜技术对乳腺癌患者的临床疗效。方法选取2013年12月至2016年12月期间确诊治疗的乳腺癌患者100例，依据随机分配原则分为腔镜组和常规组，每组50例，常规组给予开放保乳术治疗，腔镜组给予微创腔镜保乳术治疗，采用SPSS16.0统计软件处理数据，对复发、转移、乳房外观满意率等计数资料比较釆用x2检验;对术中术后各项指标、血清VEGF、CA153、CE八水平等计量资料以（x于卯土s）表示，采用t检验，P<0.05差异有统计学意义。结果腔镜组术
2、中出血量、住院时间、乳房外观满意率明显优于常规组，两组淋巴结清扫数目、1年内复发率、转移率和并发症发生率，两组差异无统计学意义（P〉0.05）;两组术前术后血清VEGF、CA153、CEA水平基木相同，但两组术后均较术前明显下降，差异有统计学意义（P<0.05）。结论微创腔镜保乳术对乳腺癌患者治疗效果确切，可有效减少患者创伤，且有利于保持乳房美容，但手术时间较长，仍需提高相关操作技术。关键词：乳腺肿瘤;腹腔镜检查;治疗结果;手术后并发症;外科，整形;作者简介：周永安，Em竝订：27544056驰qq.com收稿日期:2017-03-27Clinicale
3、ffectofminimallyinvasivebreastcavityendoscopysurgicaltreatmentfor50casesofbreastcancerLiuXunbiZhouYongonCenterHospitalofHuangshicityinHubeiProvince;Abstract：ObjectiveTodiscusstheclinicaleffectofminimallyinvasiveendoscopytechnologyforpatientswithbreastcancer.Methods100patientswith
4、breastcancerwereselectedfromDecember2013toDecember2016inourHospital,allpatientswererandomlydividedintobreastcavityendoscopygroupandconventioiialgroup,each50cases,conventionalgrouppatieiitsweregivenopenbreast-conservingsurgery,breastcavityendoscopygrouppatientsweregivenminimallyin
5、vasiveendoscopytechnologybreast-conservingsurgery,thedatawasprocessedbySPSS16.0statisticalsoftware,theenumerationdataofrecurrence,metastasis,breastsatisfactionratewerecomparedbyx2test,themeasurementdataofpostoperativeintraoperativeeachindex,serumVEGF,CA153,CEAlevelswereexpresseda
6、s(x+s)、andcomparedbyttest,whenP<0.05,thedifferencewasstatisticallysignificant.ResultsTheintraoperativebloodloss,hospitalstay,breastsatisfactionrateofbreastcavityendoscopygroupweresignificantlybetterthanthoseofconventio门algroup,therewasnotstatisticall}7*significantinthelymphnodenu
7、mber,complicationrate,recurrenceratein1year,metastaticrateofthetwogroups(P>0.05)•Therewasnostatisticallysignifiedntdifferenceinthepreoperative,postoperativeserumVEGF,CA153,CEAlevelsbitweenthebreastcavityendoscopygroupandconventionalgroup(P>0.05),butcomparedwithpreoperativedata,th
8、epostperativedataoftwogroupsweredeclined
