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目的了解乳腺癌保乳术对乳腺癌患者术后生活质量的影响,为乳腺癌手术方式的选择以及术后患者生活质量的提高提供依据。方法采用乳腺癌患者生命质量测量表(functional assessment of cancertherapy-breast,FACT-B)对接受乳腺癌保乳手术的患者进行了生活质量调查,选择同期接受乳腺癌改良根治术的患者进行比较。结果乳腺癌保乳术组和改良根治术组术后1个月、6个月的生活质量调查结果经比较,在生理状况、情感状况、功能状况、附加关注条目及生活质量总和方面,差异均有统计学意义(均P<0.01),而社会/家庭状况方面差异无统计学意义(P>0.05)。结论对早期乳腺癌患者行保乳手术能明显提高患者术后的生活质量。
Objective To understand the effect of breast conserving surgery on the postoperative quality of life of patients with breast cancer, and to provide evidence for the selection of surgical methods and improving the quality of life of postoperative patients. Methods A quality assessment of cancertherapy-breast (FACT-B) was used to assess the quality of life of breast-conserving patients undergoing breast-conserving surgery. Patients undergoing modified radical mastectomy over the same period were selected for comparison. Results The results of quality of life survey in breast conservatism group and modified radical mastectomy group at 1 month and 6 months postoperatively were compared in terms of physiological status, emotional status, functional status, additional attention items and total quality of life (All P <0.01), while there was no significant difference in social / family status (P> 0.05). Conclusion Breast-conserving surgery in patients with early breast cancer can significantly improve the postoperative quality of life.