乳腺切除术对乳腺癌患者性生活心理障碍及生活质量的影响

Impact of mammary gland resection on the sex psychological disorders and quality of life of patients with breast cancer

目的:探究与分析乳腺切除术对乳腺癌患者性生活心理障碍及生活质量的影响。方法:选取我院自2014年10月至2016年10月收治的90例乳腺癌患者,采取随机数字表法分为对照组与观察组,每组45例,对照组给予患侧乳腺切除术,观察组给予保留乳头乳晕的乳腺切除术联合即刻乳房重建术,对比两组并发症发生率、性生活心理障碍以及生活质量。结果:两组术后血肿形成、皮瓣坏死以及切口感染发生率相比无明显差异(P>0.05)。观察组与对照组相比担心术后性欲减退,担心术后失去女性的特征及魅力,担心无法适应性生活的患者比例较低,差异具有统计学意义(P<0.05)。两组术后与术前相比躯体功能、角色功能、认知功能、情绪功能及社会功能评分较高,观察组与对照组相比上述评分升高更加显著,差异具有统计学意义(P<0.05)。结论:保留乳头乳晕的乳腺切除术联合即刻乳房重建术治疗乳腺癌相比于传统的乳腺切除术能够减少患者的性生活心理障碍,促进改善生活质量。

Objectives： To explore the impact of mammary gland resection on the sex psychological disorders and quality of life of patients with breast cancer. Methods： 90 patients with breast cancer in our hospital from October 2014 to October 2016 were selected and randomly divided into control group and observation group,45 cases in each group. The control group was given mammary gland resection while the observation group received mammary gland resection combined with immediate breast revascularization to keep the nipple areola. The incidence of complications,sexual psychological disorders and the quality of life was compared between the two groups. Results：There was no significant differences between the two groups in postoperative hematoma formation,skin flap necrosis and infection of incision（ P〈0. 05）. Compared with control group,patients in the observation group worried more about loss of libido,women＇s characteristics and postoperative charm,with statistically significant difference（ P〈0. 05）. In both groups,the postoperative body function,role function,cognitive function,emotional function and social function scores were much higher than preoperative ones,and more significant in the observation group than the control group,with statistically significant difference（ P〈0. 05）. Conclusion： The joint use of mammary gland resection and immediate breast revascularization to keep the nipple areola is conducive to reduce the sexual psychological disorders and improve the quality of life compared with traditional mammary gland resection.