摘要
目的比较保乳术与根治术治疗乳腺癌的效果。方法前瞻性纳入66例保乳术和61例经典根治术的乳腺癌患者,以生活质量(QOL)、术后自我满意度和随访60个月的生存率作为评价指标。结果①保乳组和根治组60个月分别死亡14例和10例,5年累计生存率分别是77.8%和82.7%。②保乳组QOL(生理状况、社会/家庭状况、情感状况、功能状况)评分均高于根治组。③保乳组术后自我满意度评分高于根治组。结论乳腺癌保乳术能够在保证生存率的前提下,提高患者QOL和自我满意度。
Objective To compare the effect of breast-conserving surgery with radical mastectomy. Methods 127 patients with early breast cancer were divided into breast-conserving surgery group （n = 66） and radical mastectomy group （n = 61）. Quality of life （QOL）, self- satisfaction of patients and the survival rate at 60 months follow-up were evaluated. Results 14 patients died in breast-conserving surgery group, whereas 10 patients in radical mastectomy group at 60 months after surgery. The scores of QOL, self-satisfaction in breast-conserving surgery group were higher than that in the radical mastectomy group. Conclusion Breast-conserving surgery can improve the QOL, self-satisfaction of patients. And it has similar survival rate with radical masteetomy.
出处
《中国临床护理》
2012年第6期461-463,477,共4页
Chinese Clinical Nursing
关键词
乳腺癌
保乳术
根治术
生活质量
自我满意度
Breast cancer
Breast-conserving surgery
Radical mastectomy
QOL
Self- satisfaction
