中国肿瘤临床
中國腫瘤臨床
중국종류림상
CHINESE JOURNAL OF CLINICAL ONCOLOGY
2014年
11期
729-733
,共5页
高印奇%方仪%杨雪%王靖
高印奇%方儀%楊雪%王靖
고인기%방의%양설%왕정
乳腺癌%生活质量%外形满意度%Ⅰ期重建术
乳腺癌%生活質量%外形滿意度%Ⅰ期重建術
유선암%생활질량%외형만의도%Ⅰ기중건술
breast cancer%quality of life%body image satisfaction%immediate breast reconstruction
目的：比较改良根治手术和乳房Ⅰ期重建手术对中国女性乳腺癌患者生活质量和满意度的影响。方法：入选2011年7月至2013年7月间在中国医学科学院肿瘤医院接受手术治疗的乳腺癌患者60例，其中改良根治术组30例，乳房Ⅰ期重建组30例，分别给予乳腺癌患者生命质量测定量表（FACT-B）和自制量表。结果：两组间基本资料、乳腺癌病理及切口愈合情况差异均无统计学意义（P>0.05），具有良好的匹配性。与改良根治术组相比，乳房Ⅰ期重建组患者具有较好的外形满意度（33.2±8.8 vs.41.1±10.8，P=0.003）。但两组间FACT-B评分和心理影响评分差异无统计学意义（P>0.05）。结论：乳房Ⅰ期重建组患者外形满意度明显优于改良根治组。
目的：比較改良根治手術和乳房Ⅰ期重建手術對中國女性乳腺癌患者生活質量和滿意度的影響。方法：入選2011年7月至2013年7月間在中國醫學科學院腫瘤醫院接受手術治療的乳腺癌患者60例，其中改良根治術組30例，乳房Ⅰ期重建組30例，分彆給予乳腺癌患者生命質量測定量錶（FACT-B）和自製量錶。結果：兩組間基本資料、乳腺癌病理及切口愈閤情況差異均無統計學意義（P>0.05），具有良好的匹配性。與改良根治術組相比，乳房Ⅰ期重建組患者具有較好的外形滿意度（33.2±8.8 vs.41.1±10.8，P=0.003）。但兩組間FACT-B評分和心理影響評分差異無統計學意義（P>0.05）。結論：乳房Ⅰ期重建組患者外形滿意度明顯優于改良根治組。
목적：비교개량근치수술화유방Ⅰ기중건수술대중국녀성유선암환자생활질량화만의도적영향。방법：입선2011년7월지2013년7월간재중국의학과학원종류의원접수수술치료적유선암환자60례，기중개량근치술조30례，유방Ⅰ기중건조30례，분별급여유선암환자생명질량측정량표（FACT-B）화자제량표。결과：량조간기본자료、유선암병리급절구유합정황차이균무통계학의의（P>0.05），구유량호적필배성。여개량근치술조상비，유방Ⅰ기중건조환자구유교호적외형만의도（33.2±8.8 vs.41.1±10.8，P=0.003）。단량조간FACT-B평분화심리영향평분차이무통계학의의（P>0.05）。결론：유방Ⅰ기중건조환자외형만의도명현우우개량근치조。
Objective:This study was conducted to evaluate whether or not immediate breast reconstruction influences quality of life and patient body image satisfaction outcomes among Chinese women with breast cancer compared with modified radical mastecto-my. Methods:Sixty patients with breast cancer and were operated from July 2011 to July 2012 in Cancer Institute&Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College were included. These patients were divided into two groups:Ⅰ(30 patients) underwent modified radical mastectomy andⅡ(30 patients) underwent mastectomy with immediate breast reconstruction. Pa-tient satisfaction with breast reconstruction was evaluated by functionally assessing cancer therapy-breast cancer scale (FACT-B) and the scales that we designed. Results:No significant differences were observed between the two groups in terms of baseline characteris-tics, histopathological characteristics, and incision conditions (P>0.05). The patients in groupⅡ(immediate breast reconstruction) ex-hibited improved body image satisfaction outcomes (41.1 ± 10.8 vs. 33.2 ± 8.8, P=0.003);this difference was still observed after adjust-ment for confounding factors was performed by multiple linear regression. No significant difference was found between the two groups in terms of total FACT-B score and psychological evaluation score (P>0.05). Conclusion:Chinese women who prefer immediate breast reconstruction exhibited an improved body image satisfaction.
