早期乳腺癌保乳治疗后的心理状况研究

A Study on Psychology in Patients with Early Breast Cancer After Breast-conserving Therapy

[目的]探讨早期乳腺癌女性患者保乳治疗后的心理状况变化。[方法]对2002年1月至2003年12月间就诊的66例早期女性乳腺癌患者施行了保留乳房局部治疗和辅助全身治疗,在术后1年以问卷方式对66例患者的心理状态进行调查分析,并随机抽取符合相似条件的66例同期行改良根治术后患者进行心理情况对照研究。[结果]随访1年所有病例均无局部复发,66例保乳病例美容效果评价良好60例,一般6例。有9例(13.64%)保乳术后患者存在不同程度不同形式的心理障碍,而对照组有53例(80.30%),两组差异有非常显著性意义(P<0.01)。其中对肿瘤复发的恐惧感,保乳组6例,对照组5例,两组差异无显著性(P>0.05)。[结论]乳房切除术后的女性患者较普遍存在心理缺失,以保乳治疗代替改良根治术治疗早期女性乳腺癌,不但能取得满意的美容效果,而且能在很大程度上维护患者的心理健康。

To investigate the psychological changes in women with early breast cancer after breast-conserving therapy.Breast-conserving therapy and systemic adjuvant therapy were conducted to 66 women with early breast cancer from January 2002 to December 2003.Questionnaires related to psychological changes were answered by these 66 women with follow up of one year after operation.Sixty-six patients underwent postmastertomy in the same period who had similar general clinical data and clinical stage distribution were drawn out randomly as control group.No local recurrence occured in all cases with follow-up of 1 year.Of 66 women after breast-conserving therapy, 60 cases get good cosmetic results and 6,common results.Psychological disorders in various degrees and forms appeard in 9 cases(13.64%) in study group but 53 cases(80.30%) in control group.There were statistically significant difference between two groups(P<0.01). Six cases in study group and 5 cases in control group were in fear of cancer recurrence. There were no statistically significant difference between two groups(P>0.05). [Conclusion]Psychological disorders were popular in women with breast cancer postmastectomy.Treating early breast cancer with breast-conserving therapy instead of mastectomy can not only obtain good cosmetic results, but also improve the psychological health to a large extent.