不同手术方法对老年乳腺癌患者生活质量的影响

Effect of Different Operation on the Quality of Life of Elderly Patients with Breast Cancer

目的研究分析不同手术方法对老年乳腺癌患者生活质量的影响。方法将我院收治的80例老年乳腺癌患者作为研究对象,根据手术方法不同分为对照组和观察组,每组40例。对照组实施改良根治术治疗;观察组实施保乳术治疗。比较两组患者5年内生存率、远处转移率及复发率及生活质量。结果治疗5年后,对照组患者复发率13%、远处转移率5%、存活率98%与观察组患者复发率10%、远处转移率5%、存活率100%相比,差异无统计学意义(P>0.05);对照组患者生活质量评分不及观察组,差异有统计学意义(P<0.05或<0.01)。结论乳腺癌患者手术治疗过程中,可优先选择保乳术治疗,最大程度保证患者的术后生活质量。

Objective To study and analyze the effect of different operation on the quality of life of elderly patients with breast cancer. Methods 80 cases of breast cancer in elderly patients in our hospital as the object of study, according to the operation method were divided into control group and control group, 40 cases each. Control group was treated with modified radical mastectomy; Observation group implementation of breast conserving surgery. Two groups were compared patient survival, distant metastasis rate and recurrence rate and quality of life of five years. Results After 5 years of treatment, comparison between the patients in the control group the recurrence rate13%, distant metastasis rate 5%, survival rate 98% and the patients in the observation group recurrence rate 10%, distant metastasis rate 5%, survival rate 100%, the difference was not statistically significant（P〈0.05）; The control group patients quality of life score less than the observation group, the difference was statistically significant（P〈0.05or0.01）. Conclusion Breast cancer patients during the operation, breast conserving surgery is the first choice to ensure the maximum degree of postoperative quality of life of patients.