CAJ | 학술논문

目的：研究不同的手术方式对乳腺癌患者在不同阶段下生活质量的影响。方法整理我院160例乳腺癌患者的临床资料，按照患者的手术方式不同分为保留乳房乳腺癌切除的保乳手术组、全乳切除乳房重建组及改良根治组，采用回访的方法进行量表调查，统计患者在不同阶段的生活质量。结果在围手术期，三组患者的生活质量无统计学意义（P＞0.05）；术后2年和5年时，保乳手术和全乳切除乳房重建组的生活质量高于改良根治组，差异有统计学意义（P＜0.05），其心理等方面的状况无统计学意义（P＞0.05）；围手术期、术后2年、5年期间，保乳手术组与全乳切除乳房重建组患者的生理、心理状态、生存质量比较，差异无统计学意义（P＞0.05）。结论乳腺癌的治疗涉及到患者的生理构造，在很大程度上会对患者的生活质量及心理状态造成较大影响，在可选择情况下，优先采用保乳手术或是全乳切除乳房重建可在一定程度上提高患者的生活质量。
목적：연구불동적수술방식대유선암환자재불동계단하생활질량적영향。방법정리아원160례유선암환자적림상자료，안조환자적수술방식불동분위보류유방유선암절제적보유수술조、전유절제유방중건조급개량근치조，채용회방적방법진행량표조사，통계환자재불동계단적생활질량。결과재위수술기，삼조환자적생활질량무통계학의의（P＞0.05）；술후2년화5년시，보유수술화전유절제유방중건조적생활질량고우개량근치조，차이유통계학의의（P＜0.05），기심리등방면적상황무통계학의의（P＞0.05）；위수술기、술후2년、5년기간，보유수술조여전유절제유방중건조환자적생리、심리상태、생존질량비교，차이무통계학의의（P＞0.05）。결론유선암적치료섭급도환자적생리구조，재흔대정도상회대환자적생활질량급심리상태조성교대영향，재가선택정황하，우선채용보유수술혹시전유절제유방중건가재일정정도상제고환자적생활질량。
Objective To study different surgical methods for breast cancer patients under the influence of the quality of life at different stages. Methods The clinical data of finishing our hospital 160 cases of breast cancer patients , ac-cording to the patient's surgical approach , divided into breast-conserving resection of breast conserving surgery group , mastectomy breast reconstruction group, modified radical group, using the method of returning scale investigation, the statistical quality of life of patients at different stages. Results The patients in the perioperative period, physical, psy-chological and other breast-conserving surgery group and mastectomy breast reconstruction group than modified radical group ( P<0 . 05 ) , with significant difference , but there were no significant difference in the quality of life between the two groups (P>0.05); after 2 years and 5 years, breast-conserving surgery and mastectomy breast reconstruction group's quality of life was higher than that in the modified radical group (P<0.05), with significant difference between the two groups. The patient's physiological , psychological and other aspects of the situation was not statistically signif-icant (P>0.05);perioperative period, after 2 years, a period of 5 years, breast-conserving surgery group and mastecto-my breast reconstruction patients physical, psychological status, quality of life was not statistically significance (P>0.05). Conclusion Breast cancer treatment involves the patient's physical structure , resulting in a greater impact on quality of life and psychological state of the patient's will to a large extent, in the optional cases, give priority to breast-con-serving surgery or mastectomy breast reconstruction may be to some extent , improve the quality of life of patients.