常规乳腺癌保乳术与射频消融术后患者生活质量的比较

目的 比较常规乳腺癌保乳术与射频消融术后患者生活质量及精神心理健康的差别,旨在探讨影响乳腺癌患者术后身心状况及生活质量的因素.方法 对该院乳腺甲状腺外科2010年5月～2015年1月期间收治乳腺癌患者,分为射频组(87例)和保乳组(145例).比较两组患者的人口学资料、肿瘤组织病理数据,采用自我形象量表、生活质量测定量表、术后外形满意度调查表等进行问卷调查,总结两组患者术后生活质量及心理健康状况.结果 两组患者的人口学资料、肿瘤病理学数据及肿瘤特征无统计学差异(P>0.05);自我形象得分总分统计学上有显著性差异(P<0.05),其中在功能受限性和患臂关注度上差异无统计学意义(P>0.05),而在疾病易感性、身体羞耻感、身体关注度和透视度,两组患者间的差异有显著性意义(P<0.05);两组患者功能维度中的性功能、症状维度中的对脱发担忧两个维度,无显著性差异(P>0.05),其余六个维度在统计学上均有显著性差异(均P<0.05);外形满意度方面,在术后对双侧乳房形状、乳房大小和术后疤痕等满意度方面,两组患者之间有显著差异(P<0.05);在术后乳头乳晕位置和形状方面两组间满意度则无显著性差异(P>0.05).结论 射频消融术后行保乳术患者有着更好的生活质量和心理卫生健康水平,其在自我形象评价、生活质量、术后外形满意度方面均优于单纯保乳术患者.

Comparison of regular breast conserving surgery in breast cancer with the living quality of radiofrequency ablation patients

Objective To compare the difference of living quality and spiritual mental health of regular breast conserving surgery in breast cancer with the living quality of radiofrequency ablation patients,so as to investigate the factors that influence the postoperative psychosomatic condition and living quality of breast cancer patients.Methods The breast cancer patients received in the breast thyroid surgery of this hospital were divided into radio frequency group (87 cases) and breast-conserving group (145 cases) to compare the demographic date,tumor tissue pathological data of patients in both groups.Self-image scale,living quality determination scale and postoperative appearance satisfaction investigation form were used to make questionnaire,summarizing the postoperative living quality and mental health status of patients in both groups.Results The demographic data,tumor pathological data and tumor characteristics of patients in both groups had no statistical difference(P>0.05).The total score of self-image scoring had significant statistical difference(P<0.05).In addition,the difference of function limitation and diseased arm attention had no statistical significance(P>0.05).However,the difference of disease susceptibility,body sense of shame,body attention and fluoroscopy of patients in both groups had great significance(P<0.05).The sexual function and symptom of the functional dimension of patients in both groups to alopecia worry had no significant difference(P>0.05),and the rest 6 dimensions had significant difference statistically(P<0.05).With regard to the appearance satisfaction, postoperative bilateral breast shape,breast size and postoperative scar satisfaction,there was significant difference for the patients of both groups(P<0.05).With regard to the postoperative nipple,mammary areola and shape,the satisfaction of both groups had no significant difference(P>0.05).Conclusions The patients that have breast conserving surgery after frequency ablation have better living quality and mental health level.The self-image evaluation, living quality and postoperative appearance satisfaction are superior to the patients who only have breast conserving surgery.