【摘要】 目的 观察早期乳腺癌保乳手术的治疗效果。方法 分析2000～2005年临床0～Ⅱa期女性乳腺癌患者中87例行保乳手术的疗效。采用肿瘤局部扩大切除或象限切除，以及腋淋巴结清扫，术后辅以放疗、化疗或内分泌治疗。残留腺体做阶梯状对缝，以保证乳晕部的隆起。结果 保乳手术后乳房外形总满意率为93.6%，无伤口感染，无皮瓣坏死、皮下积液。随访结果局部复发率1.15%，无远处转移，无死亡病例。结论 保乳手术创伤小、并发症少、恢复快、形体改变小，疗效满意，病人心理状态良好，生存质量较高。

    【关键词】 乳腺癌；保乳手术

    Breast conservation therapy of early-stage breast cancer

    SHEN Wei-juan,ZHU Yu-ping.Wujin People’s Hospital,Changzhou 213000,China

    【Abstract】 Objective To observe the therapeutic effect of breast conservation therapy on patients with early-stage breast cancer.Methods 2000～2005,87 evaluative women with clinical Stage Ⅰand Stage Ⅱbreast cancer were underwent breast conservation therapy.Breast conservation therapy consists of surgical removal of a breast nodule or a quarter of the breast and the axillary lymph nodes followed by radiation therapy,medical therapy or endocrine therapy.The remained nodules were sewed up into ladder 2 like shape.Results The contentment rate of breast form after breast conservation therapy was 93.6% with no wound infection or flap necrosis.The local recurrence rate was 1.15% as yet and with no metastasis or dead.Conclusion Breast conservation treatment is an appropriate method of primary therapy for the majority of women with Stages Ⅰ and Ⅱ breast cancer.The patients who were conducted breast conservation therapy had less trauma and less complications.Their life quality was rather better with comparatively slighter form change and good psychology. ......