CAJ | 학술논문

目的：探讨乳腺癌合并恶性胸腔积液患者的生存状况。方法选择70例乳腺癌合并恶性胸腔积液患者为观察组研究对象，选择60例晚期乳腺癌未出现恶性胸腔积液患者为对照组。采用癌症治疗方法评估表-乳腺癌分量表（ FACT-B）评估患者生活质量，采用多因素分析对可能影响乳腺癌合并恶性胸腔积液患者生存质量的因素进行分析。结果乳腺癌合并恶性胸腔积液患者术后无病生存期中位时间为28个月；观察组患者FACT-B量表生理状况、功能状况及总分显著低于对照组（P＜0．05）。职业、收入、婚姻状况、医疗支付方式、负性事件是恶性积液患者生活质量的影响因素。收入、医疗支付方式及婚姻状况是恶性积液患者生存质量的独立影响因素。结论乳腺癌恶性胸腔积液患者生存质量差，收入、医疗支付方式及婚姻状况是乳腺癌合并胸腔积液患者生存质量的独立影响因素。
목적：탐토유선암합병악성흉강적액환자적생존상황。방법선택70례유선암합병악성흉강적액환자위관찰조연구대상，선택60례만기유선암미출현악성흉강적액환자위대조조。채용암증치료방법평고표-유선암분량표（ FACT-B）평고환자생활질량，채용다인소분석대가능영향유선암합병악성흉강적액환자생존질량적인소진행분석。결과유선암합병악성흉강적액환자술후무병생존기중위시간위28개월；관찰조환자FACT-B량표생리상황、공능상황급총분현저저우대조조（P＜0．05）。직업、수입、혼인상황、의료지부방식、부성사건시악성적액환자생활질량적영향인소。수입、의료지부방식급혼인상황시악성적액환자생존질량적독립영향인소。결론유선암악성흉강적액환자생존질량차，수입、의료지부방식급혼인상황시유선암합병흉강적액환자생존질량적독립영향인소。
Objective To explore the survival condition of breast cancer patients with malignant pleural effusion .Meth-ods 70 cases of breast cancer patients complicated with malignant pleural effusion were the experiment group ,and 60 cases of breast cancer patients without malignant pleural effusion were the control group .Multivariate analysis was used to analyze the in-fluence factors of life quality of breast cancer patients with malignant pleural effusion .Results Median time of disease free sur-vival after operation in breast cancer with malignant pleural effusion was 28 months;Physiological status ,function status and total scores in the experiment group were much lower than those of the control group (P<0.05);Single factor analysis showed that ca-reer,income,marital status,mode of payment and adverse events were the influence factors for life quality .Multivariate analysis showed that income ,marital status and mode of payment were the independence factors for life quality .Conclusion Patients with breast cancer and malignant pleural effusion have poor life quality .Income,marital status and mode of payment are the independ-ence factors for life quality .