乳腺癌患者行自体乳房重建或种植体乳房重建术后生活质量评价

Evaluation of Quality of Life for Patients with Breast Cancer after Autologous Breast Reconstruction or Implant Breast Reconstruction

目的衡量海南地区乳腺癌患者行自体乳房重建或种植体乳房重建术后生活质量。方法于2017年10月—2019年9月门诊随访海南医学院第一附属医院乳腺外科乳腺癌患者行自体乳房重建患者19例(autologous breast reconstruction,ABR)和种植体乳房重建者20例(implant-based breast reconstruction,IBR),应用EORTC QLQ-BC45(quality of life questionnaire for assessing quality of life in breast cancer patient)生活质量量表调查两组患者术后6个月的生活质量;另自制乳腺癌配偶问卷调查表,比较其配偶的生活满意度。结果ABR组与IBR组在术后6个月的身体形象(81.6±21.2)分vs(83.4±20.8)分、性欲(44.5±18.5)分vs(43.0±17.7)分、未来预期(58.8±20.5)分vs(59.4±21.7)分、治疗不良反应(20.5±10.9)分vs(22.1±9.7)分、乳腺症状(18.0±12.3)分vs(19.2±13.0)分、肢体症状(22.1±8.4)分vs(20.0±7.9)分、脱发(30.3±20.1)分vs(33.2±19.1)分,相比差异无统计学意义(P>0.05)。两组配偶对其爱人的身体形象(79.5±12.2)分vs(82.4±11.5)分、性体验(67.0±11.6)分vs(64.7±12.7)分、情感家庭因素(60.6±4.9)分vs(59.8±6.5)分,相比差异无统计学意义(P>0.05)。结论乳腺癌重建术是疾病治疗和美学兼顾的手术,行自体乳房重建或种植体乳房重建术后生活质量没有明显差异。

Objective To measure the quality of life of patients with breast cancer in Hainan after autologous breast reconstruction or implant breast reconstruction.Methods From October 2017 to September 2019,19 patients with breast cancer who underwent autologous breast reconstruction(ABR)and 20 patients with implant breast reconstruction(implant-based breast reconstruction IBR),using the EORTC QLQ-BC45(quality of life questionnaire for assessing quality of life in breast cancer patient)quality of life questionnaire to investigate the quality of life of 6 months after surgery in two groups of patients;questionnaires to compare the life satisfaction of their spouses.Results The body image(81.6±21.2)points vs(83.4±20.8)points,sexual desire(44.5±18.5)points vs(43.0±17.7)points,and future expectation(58.8±20.5)points vs(59.4±21.7)points of the ABR group and the IBR group at 6 months after surgery,treatment side effects(20.5±10.9)points vs(22.1±9.7)points;breast symptoms(18.0±12.3)points vs(19.2±13.0)points,physical symptoms(22.1±8.4)points vs(20.0±7.9)points,hair loss(30.3±20.1)points vs(33.2±19.1)points,the difference was not statistically significant(P>0.05).There were no significant differences between the two spouses in the body image of their lover(79.5±12.2)points vs(82.4±11.5)points,sexual experience(67.0±11.6)points vs(64.7±12.7)points,and emotional family factors(60.6±4.9)points vs(59.8±6.5)points,the difference was not statistically significant(P>0.05).Conclusion Breast cancer reconstruction is an operation that combines both disease treatment and aesthetics.There is no significant difference in quality of life after autologous breast reconstruction or implant breast reconstruction.