摘要
目的探讨保乳术和延迟即刻再造术对乳腺癌患者手术后生活质量(QOL)的影响。方法选取2010年1月至2015年6月北京协和医院行保乳术和延迟即刻再造术后于2016年3月至2016年4月在医院乳腺外科门诊随访的64例患者,其中保乳手术30例(保乳组),延迟即刻再造术34例(乳房再造组)。应用肿瘤治疗功能评价系统(FACT-B)量表对两组患者进行生活质量测评比较。结果两组患者生理状况、社会/家庭状况、情感状况、功能状况、总体生活质量评价FACT-G和FACT-B条目状况比较,差异无统计学意义(P>0.05);乳房再造组患者附加关注(乳腺癌特异模块)方面QOL优于保乳术组,差异有统计学意义(29.37±2.72vs 24.05±7.01,P<0.05)。结论乳腺癌保乳术和延迟即刻再造术后患者生活质量无明显差异。
Objective To evaluate the influence of different surgery methods on quality of life（ QOL） in patients with breast cancer. Methods Sixty-four breast cancer patients who underwent operations in Peking Union Medical College Hospital from March 2016 to April 2016 were included. Thirty patients underwent breast conserving surgery（ BCS） and 34 patients received the delayed-immediate breast reconstruction（ DIBR）. QOL of patients was evaluated using FACT-B Questionnaire. Results There was no difference in physical,social / family,emotional and functional well-being,and FACT-G and FACT-B score between BCS group and DIBR group（ P〉0. 05）; however,DIBR group was superior in additional concerns（ breast cancer-specific quality of Iife questionnaire） to BCS group,with a significant difference（ 29. 37 ±2. 72 vs 26. 41 ± 4. 64,P〈0. 05）. Conclusion Breast cancer patients treated with BCS and DIBR have the same QOL.
出处
《中国肿瘤临床与康复》
2016年第9期1065-1068,共4页
Chinese Journal of Clinical Oncology and Rehabilitation
基金
公益性行业科研专项(2015SQ00086)
关键词
乳腺肿瘤
乳房延迟即刻重建
保乳术
生活质量
Breast neoplasms
Delayed-immediate breast reconstruction
Breast conserving surgery
Quality of Life
