摘要
目的分析保乳手术对年轻早期乳腺癌患者生存质量的影响。方法纳入2014年1月至2016年10月于我院接受治疗的82例早期乳腺癌患者为研究对象,随机均分为两组。观察组中41例患者应用保乳手术治疗,对照组中41例患者应用改良根治术治疗。分别于术前、术后6月采用Rosenberg自尊量表(RSES)、简明世界卫生组织生存质量测定量表(WHOQOLBREF)、女性性功能指数问卷(FSFI)测评患者生存质量,并比较术后并发症发生情况。结果两组术前各量表评分均接近(P>0.05);术后6月时,观察组RSES量表评分明显高于对照组(P<0.05),WHOQOL-BREF量表各维度评分均明显高于对照组(P<0.05),FSFI指数中性欲望、性唤起、性高潮、性满意度评分均明显高于对照组(P<0.05)。观察组术后并发症发生率明显小于对照组(P<0.05)。结论经保乳手术治疗的年轻早期乳腺癌患者生活质量高于经改良根治术治疗的患者。
Objective To analyze the effect of breast conservation surgery on the quality of life in young patients with early stage breast cancer. Methods Eighty-two patients with early stage breast cancer in our hospital from January 2014 to October2016 were selected as the objects and randomly divided into two groups. Forty-one cases of the observation group were treated with breast conservation surgery, while forty-one cases of the control group were treated with modified radical mastectomy. Their quality of life were measured by Rosenberg self-esteem scale（RSES）, World Health Organization Quality of Life Survey-BREF（WHOQOL-BREF） and Female Sexual Function Index（FSFI） preoperative and 6 months after operation. The postoperative complications were compared. Results The preoperative scale scores in the two groups were close（P〉0.05）. At 6 months after operation, the RSES score in the observation group was significantly higher than that in the control group（P〈0.05）, the WHOQOL-BREF scores of each field in the observation group were significantly higher than those in the control group（P〈0.05）, the scores of desire, arousal, orgasm and sexual satisfaction of FSFI in the observation group were significantly higher than those in the control group（P〈0.05）. The incidence of postoperative complications in the observation group was less than that in the control group（P〈0.05）. Conclusion The quality of life in young patients with early stage breast cancer treated with breast conservation surgery is higher than that of patients with modified radical mastectomy.
作者
单世胜
王新民
SHAN Shi-sheng;WANG Xin-min(General Surgery Department, Xianyang Central Hospital, Xianyang 712000, China)
出处
《临床医学研究与实践》
2018年第14期41-43,共3页
Clinical Research and Practice
关键词
保乳手术
改良根治术
早期乳腺癌
生存质量
breast conservation surgery
modified radical mastectomy
early stage breast cancer
quality of life
