乳腺癌患者不同治疗阶段重建乳房需求变化轨迹的问卷调查  

Questionnaire on breast cancer patients*needs for breast reconstruction during different treatment periods

作　　者：陈爱兰[1] 王海蓉[2] 原陈珊[3] 田旭凤 Chen Ailan;Wang Hairong;Yuan Chenshan;Tian Xufeng(Department of Clean Operation,Shanxi Cancer Hospital,Taiyuan 030013,China;Inpatient Department,Shanxi Cancer Hospital,Taiyuan 030013,China;Department of Nutrition,Shanxi Cancer Hospital,Taiyuan 030013,China;The Second Breast Ward,Shanxi Provincial Cancer Hospital Taiyuan 030013,China)

机构地区：[1]山西省肿瘤医院洁净手术部,太原030013 [2]山西省肿瘤医院住院部,太原030013 [3]山西省肿瘤医院营养科,太原030013 [4]山西省肿瘤医院乳腺二病区,太原030013

出　　处：《中华医学美学美容杂志》2021年第6期527-530,共4页Chinese Journal of Medical Aesthetics and Cosmetology

基　　金：山西省科技厅资助项目(201603D321056)。

摘　　要：目的探讨乳腺癌患者不同治疗阶段重建乳房需求变化轨迹,为医护人员适时介入乳房重建方案、提高乳房重建率提供参考。方法2017年2-10月,用自行设计的重建乳房需求问卷对山西省肿瘤医院乳腺中心192例乳腺癌女性患者(年龄20〜64岁,平均49.7岁),分别在确诊期、乳房切除后未行化疗期、化疗中期、全部化疗结束后进行问卷调查。结果研究对象在确诊期、乳房切除后未行化疗期、化疗中期、化疗结束后重建需求率分别为10.4%、13.4%、16.7%、17.7%,不愿选择重建乳房的原因主要包括患者担心重建乳房影响肿瘤切除的完整性和担心肿瘤复发和转移;不愿重建乳房患者选择的弥补方式是义乳,差异有统计学意义(P<0.05)。结论化疗结束后,患者重建乳房需求率最高,更多患者愿意选择假体植入的重建乳房方式,此时期是医护人员推荐乳房重建治疗方案的最佳时期。Objective To explore the trajectory of breast reconstruction in patients with breast cancer at different stages of treatment and to provide reference for medical staff to intervene in breast reconstruction and improve breast reconstruction rate.Methods During February 2017-October 2017,192 female patients with breast cancer(aged 20-64 years,mean 49.7 years)were selected by self-designed breast reconstruction demand questionnaire.They were checked up in the diagnosis period,after chemotherapy without chemotherapy,after chemotherapy,and after the completion of chemotherapy.Results The demand rates for breast reconstruction during the diagnosis period,the period without chemotherapy after mastectomy,the middle period of chemotherapy and after chemotherapy were 10.4%、13.4%、16.7% and 17.7% respectively.The main reasons why patients were unwilling to choose breast reconstruction were that patients were worried that breast reconstruction would affect the integrity of cancer resection and worried about cancer recurrence and metastavsis.Pa tients who were unwilling to breast reconstruction planned to choose breast prosthesis,and the difference was statistically significant(P<0.05).Menopause was the influencing factor of breast recon struction demand.Conclusions After chemotherapy,patients have the highest demand rate for breast reconstruction,and more patients are willing to choose the breast reconstruction method of prosthesis implantation.This period is the best period for medical staff to recommend breast reconstruction treatment.

关 键 词：乳腺肿瘤 问卷调查 乳房切除 乳房重建 需求 

分 类 号：R737.9[医药卫生—肿瘤]