保乳手术与改良根治术对早期乳腺癌患者生活质量的影响  

Effect of breast-conserving surgery with modified radical mastectomy on the quality of life in patients with early-stage breast cancer

作　　者：易瑛[1] 蒋雪梅[1] 雷海[1] 罗雪[1] 

机构地区：[1]德阳市人民医院乳腺外科,四川德阳618000

出　　处：《临床肿瘤学杂志》2016年第7期638-641,共4页Chinese Clinical Oncology

摘　　要：目的探讨保乳手术与改良根治术对早期乳腺癌患者生活质量的影响。方法回顾性分析2013年1月至2015年1月在本院确诊住院治疗的早期乳腺癌患者276例,其中保乳手术组138例,改良根治术组138例。采用患者满意度、抑郁自评量表(SDS)及焦虑自评量表(SAS)对采用两种手术方式的患者生活质量进行评价;采用Rosenberg自尊量表、家庭亲密度适应性量表及生命质量测量表(FA CT-B)对276例患者进行问卷调查分析。结果保乳手术组患者的SAS及SDS评分均低于改良根治术组,差异有统计学意义(P<0.05)。保乳手术组在患者满意度方面较改良根治术组有明显提高,两组比较差异有统计学意义(P<0.05);保乳手术组患者在Rosenberg自尊量表和FA CT-B中的测定结果均优于改良根治术组(P=0.03,P=0.04);保乳手术组在家庭亲密度和适应性方面优于改良根治术组,两组比较差异均有统计学意义(P<0.05)。结论实施保乳手术能有效提高早期乳腺癌患者的生活质量,缓解患者心理和生理上的各种不适,促进患者康复。Objective To investigate the effect of breast-conserving surgery with modified radical mastectomy on the quality of life of early-stage breast cancer patients. Methods From January 2013 to January 2015, a retrospective analysis of early-stage breast cancer patients（ 276 cases） in our hospital, including 138 cases of breast-conserving surgery group, 138 cases of modified radi-cal mastectomy group. The patients’ satisfaction, self-rating depression scale （ SDS） and self-rating anxiety scale （ SAS） were used to evaluate the impact of the quality of life for breast cancer patients in two groups. Rosenberg self-esteem scale （ SES） , family cohesion adaptability scale, quality of life measurement table （ FA CT-B） were used to perform the questionnaire analysis. Results The SAS and SDS scores of breast-conserving surgery group was lower than those of the modified radical mastectomy group with significant statis-tical difference （ P〈0. 05） . The patients’ satisfaction in the breast-conserving surgery group was higher than that in the radical mastecto-my group, and the difference was statistically significant （ P〈0. 05） . The measurement results of SES, FA CT-B in the breast-conser-ving surgery group was improved compared with the modified radical mastectomy group（ P〈0. 05） . Family cohesion and adaptability in the breast-conserving surgery group were better than those in the modified radical mastectomy group, and the difference was statistically significant （ P〈0. 05） . Conclusion The implementation of breast-conserving surgery care can improve the quality of life in patients with early-stage breast cancer, relieve patients’ psychological and physical discomfort, and promote the rehabilitation of patients.

关 键 词：改良根治术 保乳手术 早期乳腺癌 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]