保留乳房手术对乳腺癌患者生活质量的影响

Influence of mastectomie avec dissection axillaire on life quality of patients with patients with breast cancer

目的了解乳腺癌患者保留乳房手术后与改良根治术后的生活质量的异同，为制订相应的护理措施提供依据。方法选择160例早期乳腺癌患者，其中接受保留乳房手术者（保乳组）40例，改良根治术者（根治组）120例，采用问卷调查方式比较2组患者的生活质量。结果保乳组与根治组生活质量相比，EORTCQLQ-c30评分无显著差异，EORTCQLQ—BR23的评分结果显示，保乳组对术后乳房的外形有较好的自我评价。结论保留乳房手术患者比改良根治术患者手术后的生活质量更高。

Objective To comprehend the similarities and differences of postoperative quality of life between mastectomie avec dissection axillaire and modified radical mastectomy among patients with breast cancer, and in order to supply references for establishing corresponding nursing measures. Methods 160 patients with early breast cancer were selected, 40 patients accepted the mastectomie avec dissection axil- laire （the conservative group）and 120 patients accepted modified radical mastectomy （the radical group）. The quality of life of patients was surveyed with questionnaires. Results The EORTC QLQ-C30 score of the conservative group was not significant than the radical group. The EORTC QLQ-BR 23 score showed that the conservative group had a better self-evaluation of their configuration. Conclusions The patients who accepted the mastectomie avec dissection axillaire will live a better life than those who accepted modi- fied radical mastectomy.