不同手术方式对早期乳腺癌患者生存质量的影响  

The Effect of Different Surgical Modalities on Quality of Life in Patients with Early Stage Breast Cancer

作　　者：童琴[1] 管迅行[2] 何振宇[2] 李凤岩[2] 

机构地区：[1]南华大学附属第一医院,湖南衡阳421001 [2]中山大学肿瘤防治中心,广东广州510060

出　　处：《肿瘤学杂志》2014年第4期282-285,共4页Journal of Chinese Oncology

摘　　要：[目的]比较保乳术与非保乳术对早期乳腺癌患者生存质量的影响。[方法]选取早期乳腺癌患者190例(保留乳房手术102例,改良根治术或根治术88例),用FACT-B(4.0)中文版收集资料,采用t检验比较不同术式对两组患者生存质量的影响。[结果]保乳组与非保乳组患者的总体生存质量无统计学差异(t=1.12,P=0.265)。各领域得分的比较中,保乳组社会/家庭状况领域得分高于非保乳组(t=2.34,P=0.021)。[结论]保乳组与非保乳组患者总体生存质量无显著差异,但保乳组在社会/家庭状况和体像方面优于非保乳组。[Purpose] To compare the effect of different surgical modalities on quality of life in patients with early stage breast cancer. [Methods I One hundred and ninety patients with early stage breast cancer were enrolled, including 102 patients treated with breast-conserving surgery （BCS） and 88 patients treated with modified radical mastectomy or radical mastectomy （MRM）. Data were collected by FACT-B （4,0） Chinese version. The quality of life between the two groups was compared by t-test. [ Results ] There was no significant difference between BCS and MRM group in the score of total quality of life （t=-1.12,P=0.265）. But in the social/family well- being,the score of the BCS group was higher than that of MRM group （t=-2.34,P=-0.021）.[Conelu sionsl The total quality of life is similar between BCS and MRM group,but in the field of so- cial/family well-being, BCS group is better than MRM group.

关 键 词：生存质量 保留乳房手术 改良根治术 根治术 乳腺肿瘤 

分 类 号：R737.9[医药卫生—肿瘤]