不同手术方式乳腺癌患者术后生活质量的调查

Investigation on Quality of Life in Breast Cancer Patients with Different Types of Surgeries

目的了解不同手术方式对乳腺癌患者术后生活质量的影响,以期为乳腺癌手术方式的选择以及术后患者生活质量的提高提供依据。方法 2008年10月至2010年10月,采用乳腺癌患者生命质量测量表(functional assessment of cancertherapy-breast,FACT-B)对在温州市第八人民医院接受乳腺癌手术的患者进行了调查。结果乳腺癌保乳术组和改良根治术组术后6个月、12个月的生活质量调查结果经比较,在生理状况、情感状况、功能状况、附加关注条目及生活质量总和方面,差异均有统计学意义(均P<0.01),而社会/家庭状况方面差异无统计学意义(P>0.05)。结论对早期乳腺癌患者行保乳手术能明显提高患者术后的生活质量。

Objective To assess the influence of different surgeries in breast cancer patients on the quality of life（QOL） so as to provide the evidence for the selection of surgeries and the improvement of QOL in breast cancer patients.Methods From October 2008 to October 2010,the functional assessment of cancer therapy-breast（FACT-B）was applied to investigate the two groups of breast cancer patients undergoing breast-conserved surgery and modified radical surgery.Results Significant differences were observed in the physical status,emotional status,functional status,additional attention status and total QOL（P0.01） and no significant difference was observed in social/family status（P0.05） of patients undergoing breast-conserved surgery and modified radical surgery after 6 months and 12 months.Conclusion The early breast cancer patients undergoing breast-conserved surgery have obviously higher level of QOL.