简介：　　【摘要】 目的 综合分析早期乳腺癌保乳手术及改良根治术的临床疗效。方法 96例早期乳腺癌患者， 按照术式的不同分为实验组与对照组， 每组 48例。实验组患者行保乳术治疗， 对照组患者行改良根治术治疗。对两组患者的临床指标及并发症发生情况进行对比。结果 实验组患者的术中出血量（ 16.5±2.2） ml、手术时间（ 114.3±21.2） min、引流量（ 287.6±37.7） ml、住院时间（ 9.7±3.2） d均明显优于对照组的（ 48.1±2.0） ml、（ 156.2±22.7） min、（ 566.9±46.8） ml、（ 13.5±2.8） d， 差异具有统计学意义（ P<0.05）。实验组患者的并发症发生率 2.1%明显低于对照组的 14.6%， 差异具有统计学意义（ P<0.05）。结论 早期乳腺癌患者应用保乳手术的临床疗效显著， 不仅各项手术指标优于改良根治术， 且并发症的发生风险也低于改良根治术， 值得临床推广及应用。  　　【关键词】 改良根治术；乳腺癌保乳手术；生活质量评分；临床效果  　 [Abstract] Objective To analyze the clinical effect of breast conserving operation and modified radical operation for early breast cancer. Methods 96 patients with early stage breast cancer were divided into experimental group and control group according to different operation methods, 48 cases in each group. The patients in the experimental group were treated with breast conserving operation, while the patients in the control group were treated with modified radical operation. The clinical indexes and complications of the two groups were compared. Results the bleeding volume (16.5 ± 2.2) ml, operation time (114.3 ± 21.2) min, induced flow (287.6 ± 37.7) ml and hospitalization time (9.7 ± 3.2) d in the experimental group were significantly better than those in the control group (48.1 ± 2.0) ml, (156.2 ± 22.7) min, (566.9 ± 46.8) ml, (13.5 ± 2.8) d, the difference was statistically significant (P < 0.05). The incidence of complications in the experimental group was 2.1%, which was significantly lower than that in the control group (14.6%) (P < 0.05). Conclusion the clinical effect of breast conserving surgery in early breast cancer patients is significant, not only the operation index is better than the modified radical surgery, but also the risk of complications is lower than the modified radical surgery, which is worthy of clinical promotion and application.

简介：　　【摘 要】目的：研究小切口阑尾炎切除术治疗阑尾炎的临床疗效。方法：选取 70例阑尾炎患者作为研究对象，抽取 35例作为观察组，另根据配对原则抽取 35例作为对照组。对照组采用传统切口阑尾切除术，观察组采用小切口阑尾炎切除术。对比手术时间、术中出血量及术后并发症发生率。结果：观察组手术时间短于对照组，术中出血量及术后并发症发生率少于对照组，对比差异有统计学意义（ P<0.05）。结论：小切口阑尾炎切除术治疗阑尾炎具有显著效果，可缩短治疗时间，减少术中出血及术后并发症对患者造成的影响，值得临床推广。  　　【关键词】小切口阑尾炎切除术；阑尾炎；并发症  [Abstract] Objective: To study the clinical effect of small incision appendectomy in the treatment of appendicitis. Methods: 70 cases of appendicitis were selected as the study object, 35 cases were selected as the observation group, and 35 cases were selected as the control group according to the matching principle. The control group was treated with traditional incision appendectomy, and the observation group with small incision appendectomy. The time of operation, the amount of bleeding and the incidence of postoperative complications were compared. Results: the operation time of the observation group was shorter than that of the control group, the amount of bleeding and the incidence of postoperative complications were less than that of the control group, the difference was statistically significant (P < 0.05). Conclusion: small incision appendicitis resection has a significant effect in the treatment of appendicitis. It can shorten the treatment time, reduce the impact of intraoperative bleeding and postoperative complications on patients, and is worthy of clinical promotion.