女性乳腺癌保乳手术决策相关因素  

Factors related to decision-making of breast-conserving surgery for female breast cancer

作　　者：周亚杰 王斐[1] 于理想[1] 余之刚[1] ZHOU Yajie;WANG Fei;YU Lixiang;YU Zhigang(Department of Breast Surgery,The Second Hospital of Shandong University,Jinan 250033,Shandong,China)

机构地区：[1]山东大学第二医院乳腺外科,山东济南250033

出　　处：《山东大学学报（医学版）》2022年第12期1-6,共6页Journal of Shandong University:Health Sciences

基　　金：山东省医学会科研基金(YXH2020ZX064)

摘　　要：保乳手术已成为女性早期乳腺癌的标准手术方式,但目前我国保乳率整体水平仍然较低,特别是大量具备保乳手术指征的患者最终未接受保乳手术。影响保乳手术治疗决策的因素是复杂的,包括年龄、家庭收入、受教育水平等社会经济因素;此外,医生的建议、放疗相关的医疗服务、对癌症复发的担忧也对患者术式选择产生影响。本文对影响具备保乳手术指征的乳腺癌患者进行手术决策的相关因素进行综述,以期为提高我国女性乳腺癌保乳率提供参考。Breast-conserving surgery has become the standard operation for women with early breast cancer. However, the overall rate of the surgery is still low in China, and many patients with indications failed to receive breast-conserving surgery. Factors affecting the decision to receive surgery are complex, involving social and economic factors such as age, family income and education level. In addition, recommendations of doctors, medical services related to radiation therapy, concern of recurrence also have impacts. This article will review related factors influencing the decision-making of breast cancer patients with breast-conserving surgery indications, so as to provide reference for improving the rate of surgery.

关 键 词：乳腺癌 保乳手术 乳房切除手术 决策 相关因素 

分 类 号：R737.9[医药卫生—肿瘤]