保乳手术与改良根治术对早期乳腺癌患者生活质量的影响

目的 探讨保乳手术与改良根治术对早期乳腺癌患者生活质量的影响。方法 回顾性分析2013年1月至2015年1月在本院确诊住院治疗的早期乳腺癌患者276例，其中保乳手术组138例，改良根治术组138例。采用患者满意度、抑郁自评量表（SDS）及焦虑自评量表（SAS）对采用两种手术方式的患者生活质量进行评价；采用Rosenberg自尊量表、家庭亲密度适应性量表及生命质量测量表（FA CT-B）对276例患者进行问卷调查分析。结果 保乳手术组患者的SAS及SDS评分均低于改良根治术组，差异有统计学意义（P＜0.05）。保乳手术组在患者满意度方面较改良根治术组有明显提高，两组比较差异有统计学意义（P＜0.05）；保乳手术组患者在Rosenberg自尊量表和FA CT-B中的测定结果均优于改良根治术组（P=0.03，P=0.04）；保乳手术组在家庭亲密度和适应性方面优于改良根治术组，两组比较差异均有统计学意义（P＜0.05）。结论 实施保乳手术能有效提高早期乳腺癌患者的生活质量，缓解患者心理和生理上的各种不适，促进患者康复。

Effect of breast-conserving surgery with modified radical mastectomy on the quality of life in patients with early-stage breast cancer

Objective To investigate the effect of breast-conserving surgery with modified radical mastectomy on the quality of life of early-stage breast cancer patients. Methods From January 2013 to January 2015, a retrospective analysis of early-stage breast cancer patients( 276 cases) in our hospital, including 138 cases of breast-conserving surgery group, 138 cases of modified radi-cal mastectomy group. The patients’ satisfaction, self-rating depression scale ( SDS) and self-rating anxiety scale ( SAS) were used to evaluate the impact of the quality of life for breast cancer patients in two groups. Rosenberg self-esteem scale ( SES) , family cohesion adaptability scale, quality of life measurement table ( FA CT-B) were used to perform the questionnaire analysis. Results The SAS and SDS scores of breast-conserving surgery group was lower than those of the modified radical mastectomy group with significant statis-tical difference ( P<0. 05) . The patients’ satisfaction in the breast-conserving surgery group was higher than that in the radical mastecto-my group, and the difference was statistically significant ( P<0. 05) . The measurement results of SES, FA CT-B in the breast-conser-ving surgery group was improved compared with the modified radical mastectomy group( P<0. 05) . Family cohesion and adaptability in the breast-conserving surgery group were better than those in the modified radical mastectomy group, and the difference was statistically significant ( P<0. 05) . Conclusion The implementation of breast-conserving surgery care can improve the quality of life in patients with early-stage breast cancer, relieve patients’ psychological and physical discomfort, and promote the rehabilitation of patients.