| Objective:Study the impact of the MDT model on the standardized diagnosis and treatment of surgical breast cancer,and provide clinical help for the standardized diagnosis and treatment of breast cancer in the region.Methods:Collecting the first diagnosis of 394 patient clinical cases of patients with primary breast cancer from October 2017 to October 2021.Based on whether MDT was divided into 195 cases of MDT group and 199 cases of non-MDT groups.The general situation of the two groups of cases is studied through statistical methods(gender,age,menstrual state,BMI,whether to combine hypertension,diabetes,coronary heart disease,previous history of other malignant tumor disease,history of breast benign disease,family history of breast cancer),family history of breast cancer),family history of breast cancer),family history of breast cancer),family history,The completion of the specialty examination(the color Doppler ultrasound,the mammalum target,the mammary MRI examination,and the tissue examination of the mammary glander,the mammary gland),the completion of the diagnosis Whether the diagnosis meets the2021 version of the Chinese Anti-Cancer Association’s breast cancer diagnosis and treatment guidelines and standards),Diagnosis and treatment efficiency indicators: The average number of hospitalization days of surgery,the completion of the standardized neo-assisted treatment,and the milk preservation rate.In addition,the clinical cases of patients with breast cancer patients who need to be accepted in two groups need to be accepted in two groups.Among them,there were 80 cases of MDT and 105 cases of non-MDT groups,which further compared the completion of the postoperative chemical chemical,radiotherapy and targeted therapy,compared the two groups of indicators,and studied the impact of the MDT model on the standardized diagnosis and treatment of surgical breast cancer.Results:1.In the MDT group,the average number of hospitals in surgery was 7(day),and the hospitalization cost was 17352(dollars);the average number of hospitals in the non-MDT group surgery were 10(day),and the hospitalization cost was 15057(dollars).There are statistical differences(p<0.05)in the number of surgical hospitalization days and hospitalization costs.The number of hospitalization days of non-MDT groups is significantly higher than that of the MDT group,and the hospitalization cost is lower than the MDT group.2.In the MDT group,194 cases performed the breast MRI,which accounted for(99.5%);in the non-MDT group,54 cases performed the mammoth MRI,accounting for(27.1%).Analysis of the two groups indicates that there are statistical differences in mammary MRI(p<0.05),and the completion of the MDT group breast MRI is significantly higher than the non-MDT group.3.In the MDT group,184 cases performed the TNM installment,accounting for(94.4%);in the non-MDT group,66 cases performed the TNM staging before surgery,accounting for(33.2%).There were statistical differences(p<0.05)before TNM staging before the two groups,and the completion of the TNM staging before the MDT group was higher than the non-MDT group.4.There were 163 cases(83.6%)of the MDT group(83.6%)pre-diagnosis of the guideline;in the non-MDT group,23 cases(11.6%)pre-surgery diagnosed met the guideline standard,and there were obvious differences between the two groups of analysis(p<0.05),MDT MDT The guidelines diagnosed before the group were higher than the non-MDT group.5.Among the MDT group,70 cases(35.9%)were performed;11 of the non-MDT group had a milk protection surgery;statistically significant(p<0.05)between the two groups.The completion of the MDT group milk protection surgery is higher than the non-MDT group.6.Of the cases of the MDT group II,78 cases(97.5%)were standardized for radiotherapy after surgery;71 of the non-MDT group II cases(67.6%)were standardized for standardized radiotherapy after surgery.There are statistically significance(p<0.05)in the completion of the two groups of postoperative chemotherapy.The completion of the MDT group after surgery is higher than the non-MDT group.Conclusion:1.The MDT model has shortened the hospitalization time and improved the efficiency of diagnosis and treatment.2.The MDT model improves the completion of preoperative normative examination,rational staging of diagnosis,improves the compliance of breast cancer patients with guidelines in the diagnosis and treatment process,and helps the standardized diagnosis and treatment of breast cancer patients.3.The MDT mode improves the breast-reducing rate of surgical breast cancer,making postoperative chemotherapy,radiotherapy and targeted therapy more rationalized,and changing the current status of breast cancer diagnosis and treatment in the development area. |