不同手术方式对乳腺癌患者术后生存质量及婚姻质量的影响.docVIP

不同手术方式对乳腺癌患者术后生存质量及婚姻质量的影响 　　作者：朱丽萍， 韩宝三, 倪多, 吐尔鸿·沙比尔， 波拉提·吾瓦力，齐新， 宋牧 作者单位：新疆医科大学附属肿瘤医院乳腺外科, 新疆乌鲁木齐830011; 上海交通大学医学院瑞金医院普外科, 上海200025 　　【摘要】目的：探讨不同手术方式对乳腺癌患者术后生存质量及婚姻质量的影响。方法：149例乳腺癌患者中接受经典根治术55例，改良根治术51例，保乳手术43例，采用乳腺癌生存质量评定量表和Olson婚姻质量问卷对不同手术方式乳腺癌患者的生存质量和婚姻质量进行评价。结果：改良根治术、保乳手术乳腺癌患者躯体、心理、社会、精神4个因子的得分均明显高于经典根治术患者(P0.05)，而改良根治术与保乳手术患者各因子评分差异无统计学意义(P0.05);改良根治术、保乳手术乳腺病患者婚姻满意度、夫妻交流这2个因子的得分均明显高于经典根治术患者P0.05),保乳手术得分高于改良根治术，但仍低于常模(P0.05)。结论：接受改良根治术乳腺癌患者术后生存质量优于接受经典根治术者，保乳手术有助于婚姻质量的提高。 　　【关键词】 乳腺癌; 生存质量; 婚姻质量; 经典根治术;　改良根治术;　保乳手术 　　Influences on the quality of life and quality of marital life for postoperative patients with breast cancer 　　ZHU Liping,　 HAN Baosan, NI Duo, et al 　　(Department of Breast Surgery, Affiliated Tumor Hospital, Xinjiang Medical University, Urumqi 830011, China) 　　Abstract： Objective: To assess the influences on the quality of life and marital life in women with breast cancer who underwent a mastectomy. Methods: One hundred and forty nine women were included in the study, in which Functional Assessment of Cancer TherapyBreast Quality of Life Instrument and Olsons questionnaire were used to assess the quality of life and quality of marital life. Among them 55 patients were undergone halsted radical mastectomy, 51 were undergone modified radical mastectomy and 43 were undergone reserved mastectomy. Results: The study showed that women who had halsted radical mastectomy had a lower point than modified radical mastectomy and reserved mastectomy in body, psychology, socity and mind and quality of marital life (P0.05),and there were not difference significantly between modified radical mastectomy and reserved mastectomy (P0.05). Conclusions: Quality of life of the women with modified radical mastectomy were higher than the women with Halsted radical mastectomy， reserved mastectomy help to improve marital life. 　　Key words: breast cancer; quality of life; quality of marital life; halsted radical mastectomy; modified radical m