乳腺癌患者选择腔镜或开放手术方式对术后生活质量的影响  

The impact of endoscopy surgery or open surgery on postoperative quality of life in patients with breast cancer

作　　者：高方方 范平明[1] 吕鹏飞[1] 韦长元[2] 江朝娜 GAO Fangfang;FAN Pingming;LÜPengfei;WEI Changyuan;JIANG Chaona(Department of Breast Surgery,the First Affiliated Hospital of Hainan Medical College,Haikou 570102,China;Department of Breast Surgery,Affiliated Cancer Hospital of Guangxi Medical University,Nanning 530021,China;College of Basic Medicine and Life Sciences,Hainan Medical University,Haikou 571199,China)

机构地区：[1]海南医学院第一附属医院乳腺外科,海南海口570102 [2]广西医科大学附属肿瘤医院乳腺外科,广西南宁530021 [3]海南医学院基础医学与生命科学学院,海南海口571199

出　　处：《新医学》2024年第9期708-715,共8页Journal of New Medicine

基　　金：海南省自然科学基金(821MS0830)。

摘　　要：目的探讨腔镜手术和开放手术对乳腺癌患者术后生活质量的影响。方法收集344例接受了手术治疗的女性乳腺癌患者的资料,按术式进行分组,其中腔镜手术组92例、开放手术组252例。采用乳腺癌患者生活质量测定量表(FACT-B)调查患者术后的生活质量,比较2组的差异。结果2组的FACT-B条目“我满意我的性生活”“我能工作(包括家里工作)”“我的工作(包括家里工作)令我有成就感”“我感到在性方面有吸引力”“我仍能感到像一个女人”“我担心紧张对我的疾病造成影响”比较差异均有统计学意义(P均<0.05),腔镜手术组均优于开放手术组。其余条目2组比较差异均无统计学意义(P均>0.05)。结论接受腔镜手术的乳腺癌患者的术后生活质量优于接受开放手术的患者。Objective To analyze the impact of endoscopy surgery and open surgery on the quality of life of breast cancer patients.Methods Three hundred and forty-four female breast cancer patients who underwent two different surgical methods were collected,including 92 cases in the endoscopic surgery group and 252 cases in the open surgery group.Functional Assessment of Cancer Therapy-Breast(FACT-B)was used to investigate the quality of life of patients after surgery in two groups.Results The FACT-B items“I am satisfied with my sex life”“I am able to work(including home work)”“My work(including home work)makes me feel a sense of accomplishment”“I feel sexually attractive”“I still feel like a woman”“I worry about the effect of stress on my disease”were statistically significant in two groups(all P<0.05),the endoscopic surgery group was superior to the open surgery group.There was no significant difference in the other items between the two groups(all P>0.05).Conclusion The quality of life of breast cancer patients undergoing endoscopy surgery was better than that of patients undergoing open surgery.

关 键 词：乳腺癌 乳房切除 腔镜手术 开放手术 生活质量 

分 类 号：R737.9[医药卫生—肿瘤]