CAJ | 학술논문

目的评估乳腺癌患者行保乳术和改良根治术的术后生活质量.方法乳腺癌患者共112例,行改良根治术55例(根治术组),保乳术57例(保乳术组).采用生存质量测定量表简表(WHOQOL-BREF)问卷及自行设计的几个访谈问题,从患者的生理、心理、社会关系和环境领域,进行问卷调查,评估乳癌两种术式对患者术后生活质量的影响.结果患者的术后6个月、12个月的生活质量,心理和生理领域的影响比较,保乳术组明显均优于根治术组,而对社会和环境领域影响两方面没有明显差异.结论早期乳腺癌患者行保乳术可改善其术后的生活质量.
목적 평고유선암환자행보유술화개량근치술적술후생활질량.방법 유선암환자공112례,행개량근치술55례(근치술조),보유술57례(보유술조).채용생존질량측정량표간표(WHOQOL-BREF)문권급자행설계적궤개방담문제,종환자적생리、심리、사회관계화배경영역,진행문권조사,평고유암량충술식대환자술후생활질량적영향.결과 환자적술후6개월、12개월적생활질량,심리화생리영역적영향비교,보유술조명현균우우근치술조,이대사회화배경영역영향량방면몰유명현차이.결론 조기유선암환자행보유술가개선기술후적생활질량.
Objective To compare and observe the clinical nursing of two surgical treatments on gallstones. Methods From 2003 to 2008, there were 80 eases with the common bile duct lithotomy(groupI) ,80 cases with laparoscopic common bile duct lithotomy (groupⅡ) in our hospital. Hospital fees ,postoperative comfort ,complications and days of hospitalization were compared between two groups. Results The differences in the average hospital expense coverage were not significant, but the postoperative comfort (abdominal distension,incision pain,urinating difficulty, the activities of inconvenience ,days of hospitalization) was significantly different ,and the postoperative complications (wound infection,adhesion intestinal obstruction) was significantly different. Conclusions laparoscopic common bile duct lithotomy can shorten the days of hospitalization ,improve postoperative comfort ,reduce complications,and reduce the workload of nursing with no additional cost.