不同手术方式对乳腺癌病人生活质量影响研究  

Influences on quality of life of patients with breast cancer undergone different styles of operations

作　　者：李培鑫[1] 屈翔[2] 张忠涛[2] 李建设[1,2] 秦胜旗[2] 唐克[2] 王国军[1] 杨贤蓓[1] 李炫昊[1] 田丽[1] 张惠[1] 张珊珊[1] 张鸽[1] 

机构地区：[1]首都医科大学附属北京友谊医院医疗保健中心综合外科,北京100050 [2]首都医科大学附属北京友谊医院普外科,北京100050

出　　处：《中国实用外科杂志》2011年第12期1127-1129,共3页Chinese Journal of Practical Surgery

摘　　要：目的探讨不同手术方式对乳腺癌病人生活质量的影响。方法北京友谊医院采用《生活质量评定问卷》对2008年1月至2010年5月48例接受保留乳房的乳腺癌切除术病人、57例接受乳腺癌改良根治术病人及50名健康人进行调查,并进行统计分析。结果对照组与不同手术方式乳腺癌病人在躯体功能、心理功能、社会功能方面差异均有统计学意义,保留乳房的乳腺癌切除术组与乳腺癌改良根治术组在躯体功能、心理功能、社会功能等方面差异均有统计学意义,并且各结果对照组均优于保留乳房的乳腺癌切除术组及乳腺癌改良根治术组,保留乳房的乳腺癌切除术组均优于乳腺癌改良根治术组。讨论乳腺癌病人生活质量明显下降,但保留乳房的乳腺癌切除术对乳腺癌病人的生活质量的影响要小于乳腺癌改良根治术。Objective To explore influences on quality of life of patients with breast cancer undergone different styles of operations. Methods During January 2008 and May 2010, 48 patients undergone breast reserved mastectomy, 57 patients undergone modified radical mastectomy and 50 normal persons admitted in Beijing Friendship Hospital Affiliated to Capital Medical University were included in the research, in whieh GQOLI-74 was used to assess the quality of life. Results The study showed that patients with breast caner had a lower point than normal persons in physical function, psychological function and social function. Patients undergone modified radical masteetomy had lower points than those undergone breast reserved mastectomy. Conclusion The quality of life of the patients with bl^ast cancer is obviously lower than normal persons. The quality of life of the patients undergone breast reserved mastectomy is higher than those undergone modified radical masteetomy.

关 键 词：乳腺癌 保留乳房 生活质量 

分 类 号：R6[医药卫生—外科学]