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目的：探讨不同切口下乳腺癌根治术的临床效果。方法：将140 例乳腺癌患者根据治疗方法的不同分为对照组60 例和治疗组80 例，两组都行乳腺癌改良根治术，对照组采用Halsted-Meyer 纵切口，治疗组采用Stewart 横切口。比较两组手术并发症的发生情况、术后局部复发与远处转移的情况以及生存质量的改变情况。结果：所有患者都顺利完成手术，与对照组相比，治疗组术后皮瓣下积液、皮瓣坏死、上肢淋巴水肿的并发症发生率均明显降低(P<0.05)，术后躯体、心理、社会支持、精神评分均明显升高(P<0. 05)，术后6个月的局部复发率与远处转移率均明显降低(P<0.05)。结论：横切口下实施乳腺癌改良根治术能减少术后并发症，提高患者的术后生存质量，改善患者的远期预后。

英文摘要:

Objective:To evaluate the clinical effect of different incision for radical lymphadenectomy.Methods:140 patients with breast cancer were divided the control group (60 patients) and treatment group (80 patients) according to different treatment methods, both groups were given modified radical mastectomy, the control group used Halsted-Meyer vertical incision, while the treatment group were given the Stewart transverse incision. The incidence of complications, postoperative local recurrence and distant metastasis as well as the change of quality of life were compared between two groups.Results:All patients were successfully operated, compared with the control group, the incidence rates of complications such as lower flap effusion, flap necrosis, upper extremity lymphedema in the treatment group were significantly lower (P<0.05), the postoperative physical therapy, social support, mental, spiritual scores of the treatment group were significantly higher (P<0.05), the local recurrence rate and distant metastasis rate of treatment group were significantly lower (P<0.05).Conclusion:The Stewart transverse incision under the implement modified radical lymph node dissection could reduce the incidence rate of postoperative complications and improve the postoperative quality of life, improve the long-termprognosis.

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