乳腺癌保乳手术与乳房再造术术后生活质量调查

STUDY ON POSTOPERATIVE LIFE QUALITY OF BREAST-CONSERVING SURGERY AND BREAST RECONSTRUCTION SURGERY IN PATIENTS WITH BREAST CANCER

目的评价乳腺癌保乳手术和乳房再造术的生活质量。方法随访180例乳腺癌患者一般社会学特征、临床病例资料、术后情况。分为保乳组(n=90)和再造组(n=90)二组。180例患者获得随访。应用(FACT-B4.0)量表对120例入选患者的生活质量进行测试,结果显示:在生理功能、社会功能、躯体功能、性功能、身体形象以及QOL总分方面,保乳组好于再造组,但差异无统计学意义(P>0.05)。心理功能方面再造组平均得分高于保乳组,二组比较差异有统计学意义(P<0.05)。结果实行保留乳房手术的患者和实行乳房再造术患者生活质量一致。

Objective To assess the efficacy and quality of life （QOL） of the breast- conserving surgery and the realtime breast reconstruction after modified radical mastectomy in breast cancer. Methods Of 180 total ease with breast cancer, 90 eases were treated with breastconserving surgery （BC group） and 90 cases were treated with the realtime breast reconstruction after modified radical rnastectomy（MR group）. Their sociodemographic and clinical characteristics and situation after surgery were followed up. The QOL was evaluated on the 120 eases by using FACT- B Ques- tionnaire Chinese version 4.0. Results It showed that BCgroup was better than MR group in physical function, social function, functional adjustment, sexual function,body configuration and total of QOL. However, the difference was not significant（P〉0.05）. The QOL was assessed according to psychologic function. Results showed that MR group was better than BC group in psychologic function QOL（P〈0.05）. Conclusion Patients with breast cancer are treated with breast - conserving surgery and the real - time breast reconstruction after modified radical masteetomy have the same efficacy and QOL.