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目的探讨乳腺癌根治术后乳房Ⅰ期再造治疗中的心理状况变化。方法对2003年9月～2004年12月26例行乳腺癌乳房Ⅰ期再造治疗及全身辅助治疗的患者,在术后随访期间进行心理状态调查分析,随机抽取符合相似条件同期进行乳腺癌改良根治术患者进行心理状态对照研究。结果随访1年所有病例均无局部复发,26例乳房再造美容效果良21例,中5例。有5例(19%)乳房再造术后患者存在不同形式的心理障碍,对照组有20例(77%),2组差异有显著意义(P<0.01)。其中对肿瘤复发恐惧感,再造组4例,对照组3例,2组差异无显著意义(P>0.05)。结论乳房切除术后的女性患者较普遍存在心理缺失。乳腺癌根治术乳房Ⅰ期再造治疗替代改良根治术治疗无法保留乳房的女性患者,不但能取得满意的美容效果,而且能维护患者的心理健康,提高生活质量。
Objective To investigate the changes of psychological status in stage Ⅰ breast reconstruction after radical mastectomy. Methods From September 2003 to December 2004, 26 patients undergoing breast stage I breast reconstruction and systemic adjuvant therapy were investigated during the follow-up period. The patients were randomly selected to receive radical resection of breast cancer Patients with psychological state control study. Results All cases were followed up for 1 year without any local recurrence. Twenty-six cases of breast reconstruction were good in 21 cases, and 5 cases were cured. Five patients (19%) had different forms of psychological disorder after breast reconstruction, compared with 20 (77%) in the control group, with significant differences between the two groups (P <0.01). There was no significant difference between the two groups (P> 0.05). There was no significant difference between the two groups (4 cases in the reconstruction group and 3 cases in the control group). Conclusions Female patients after mastectomy are more commonly lacking in psychology. Breast cancer radical mastectomy breast reconstruction treatment Alternative to modified radical mastectomy can not retain the breast of female patients, not only to achieve satisfactory cosmetic results, but also to maintain the patient’s mental health and improve quality of life.