中国实用外科杂志

中国实用外科杂志 ›› 2011, Vol. 31 ›› Issue (12): 1127-1129.

• 论著 • 上一篇    下一篇

不同手术方式对乳腺癌病人生活质量影响研究

李培鑫a，屈    翔b，张忠涛b，李建设ab，秦胜旗b，唐    克b，王国军a，杨贤蓓a，李炫昊a，田    丽a，张    惠a，张珊珊a，张    鸽a   

  1. 首都医科大学附属北京友谊医院  a.医疗保健中心综合外科  b.普外科，北京 100050
  • 出版日期:2011-12-01 发布日期:2011-11-28

  • Online:2011-12-01 Published:2011-11-28

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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。

关键词: 乳腺癌, 保留乳房, 生活质量

Abstract:

Influences on quality of life of patients with breast cancer undergone different styles of operations        LI Pei-xin*, QU Xiang, ZHANG Zhong-tao, et al.*Department of Lomprohensive Surgery, Medical and Healthy Center,  Beijing Friendship Hospital Affiliated to Capital Medical University, Beijing 100050,China
Corresponding author: QU Xiang, E-mail：cqx3968@sina.com
Abstract    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 which 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 mastectomy had lower points than those undergone breast reserved mastectomy. Conclusion    The quality of life of the patients with breast 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 mastectomy.

Key words: breast cancer, breast-conserving, quality of life