摘要
目的:探讨乳腺癌根治术后进行胸壁、腋窝放射治疗的临床意义。方法:选取2019年3月-2020年12月香河县人民医院收治的80例乳腺癌患者作为研究对象,以随机数表法分为两组,各40例。对照组行胸壁放射治疗,观察组在对照组基础上联合腋窝放疗。比较两组局部控制率、生存率、复发率及不良反应发生情况。结果:两组局部控制率、生存率及复发率比较,差异无统计学意义(P>0.05)。观察组不良反应发生率高于对照组,差异有统计学意义(P<0.05)。结论:对乳腺癌根治术患者术后采用胸壁及腋窝放射治疗与单纯进行胸壁放射治疗的近期疗效、生存率、复发率相当,而加用腋窝放射治疗可导致不良反应风险显著升高,临床应根据患者病情,仔细评估是否需补充腋窝放疗,以保障临床治疗效果及安全性。
Objective:To investigate the clinical significance of chest wall and axillary radiotherapy after radical mastectomy.Methods:From March 2019 to December 2020,80 breast cancer patients treated in Xianghe County People's Hospital were selected as the study subjects.They were divided into two groups with 40 cases in each group according to random number table method.The control group underwent chest wall radiotherapy,and the observation group was given axillary radiotherapy on the basis of the control group.The local control rate,survival rate,recurrence rate and adverse reaction incidence of the two groups were compared.Results:The local control rate,survival rate and recurrence rate of the two groups were compared,and the difference was not statistically significant(P>0.05).The incidence of adverse reactions in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).Conclusion:The short-term efficacy,survival rate and recurrence rate of chest wall and axillary radiotherapy after radical mastectomy are comparable to those of chest wall radiotherapy alone,while the combination of axillary radiotherapy can lead to a significant increase in the risk of adverse reactions,and the axillary radiotherapy in clinical treatment should be carefully evaluated according to the patient's condition to ensure the clinical treatment effect and safety.
作者
毛振华
李富华
高福庆
付严庆
李学芝
Mao Zhen-hua;Li Fu-hua;Gao Fu-qing;Fu Yan-qing;Li Xue-zhi(Department of Radiation Oncology,Xianghe County People's Hospital,Langfang 065400,Hebei Province,China)
出处
《中国社区医师》
2022年第27期9-11,共3页
Chinese Community Doctors
基金
河北省重点研发计划项目(编号:2020013139)。
关键词
乳腺癌根治术
放射治疗
胸壁
腋窝
Radical mastectomy for breast cancer
Radiotherapy
Chest wall
Armpit
