县域医院乳腺癌患者生存质量影响因素的调查分析

Investigation and analysis of influencing factors on quality of life of breast cancer patients in county hospitals

目的调查分析县域医院乳腺癌患者的生存质量影响因素。方法回顾性分析我院收治的315例乳腺癌患者的临床资料,分析影响患者生存率的因素。结果随访期间,0期乳腺癌患者的生存率为100.00%;Ⅰ、Ⅱ期乳腺癌患者的生存率显著高于Ⅲ、Ⅳ期(P<0.05)。Lminal A型和Lminal B型乳腺癌患者的生存率显著高于三阴性型(P<0.05)。使用曲妥珠单抗治疗的HER-2阳性乳腺癌可减少术后转移。结论虽然县域医院在乳腺癌的诊疗方面仍存在较大的提升空间,但随着医疗技术水平的进步、抗肿瘤药物的可及性改善及国内外乳腺癌指南的推广,县域医院乳腺癌的诊疗和预后将会日趋完善。

Objective To investigate and analyze the influencing factors on quality of life of breast cancer patients in county hospitals. Methods The clinical data of 315 breast cancer patients admitted to our hospital were retrospectively analyzed, and influencing factor of the survival rate was analyzed. Results During follow-up, the survival rate of stage 0 breast cancer patients was 100.00%. The survival rate of breast cancer patients with stageⅠ,Ⅱ were significantly higher than those of stage Ⅲ,Ⅳ(P<0.05). The survival rate of patients with Lminal A and Lminal B breast cancer were higher than those of triple negative breast cancer(P<0.05). The using of trastuzumab in treatment of HER-2 positive breast cancer can reduce metastasis after operation. Conclusion Although the diagnosis and treatment of breast cancer in county hospitals still has a large space for improvement, the progress of medical technology, the improvement of the accessibility of anti-tumor drugs and the promotion of domestic and foreign guidelines for breast cancer, the diagnosis, treatment and the prognosis of breast cancer in county hospitals will be gradually improved.