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中国初级卫生保健:2020,34(2):109-93
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保乳手术联合化疗治疗乳腺癌的临床疗效分析
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中文摘要: 目的 观察保乳手术联合化疗药物治疗乳腺癌的疗效。方法 收集100例乳腺癌患者,随机分为两组,A组,50例,行乳腺癌根治手术治疗;B组,50例,行保乳手术联合化疗药物治疗,比较两组患者临床疗效、生存质量评分、IL-17、IL-10水平变化。结果 治疗后A组与B组临床总有效率比较差异不具有统计学意义(P>0.05);B组的术后美容评价效果优于A组,差异有统计学意义(P<0.05);2组治疗后IL-17、IL-10水平降低明显(P<0.05),B组IL-17、IL-10水平低于A组(P<0.05)。2组治疗后生存质量评分明显升高(P<0.05),B组高于A组(P<0.05)。结论 保乳手术联合化疗治疗乳腺癌患者的临床美容效果更优,能够提高患者生存质量,能够显著下调IL-17和IL-10水平,起到治疗作用。
Abstract:OBJECTIVE To observe the efficacy of breast-conserving surgery combined with chemotherapy drugs in the treatment of breast cancer.METHODS 100 patients with breast cancer were collected and randomly divided into 2 groups. 50 patients in group A were treated with radical mastectomy. 50 patients in group B were treated with breast-conserving surgery combined with chemotherapy. The clinical efficacy, quality of life score, IL-17 and IL-10 levels were compared between the two groups.RESULTS There was no significant difference in the total effective rate between group A and group B after treatment (P>0.05). The postoperative cosmetic evaluation of group B was better than that of the control group, the difference was statistically significant(P<0.05); The levels of IL-17 and IL-10 were significantly decreased after treatment (P<0.05). The levels of IL-17 and IL-10 in group B were lower than those in group A (P<0.05). The quality of life scores of the two groups were significantly higher after treatment(P<0.05), and those of group B were higher than those of group A(P<0.05).CONCLUSION Breast-conserving surgery combined with chemotherapy for breast cancer patients has better clinical cosmetic effects, can improve the quality of life of patients, and can significantly down-regulate IL-17 and IL-10 levels, and play a therapeutic role.
文章编号:3202001033     中图分类号:R737.9    文献标志码:
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李 丹①  
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