保乳与改良根治术对乳腺癌患者生存质量和性功能的影响

目的比较保乳手术与改良根治术对早期乳腺癌生存质量和性功能的影响。方法回顾分析70例Ⅰ、Ⅱ期乳腺癌患者临床资料,根据患者手术方式分为保乳手术组（BCT组）和改良根治术组（MRM组）,比较两组患者术后生存质量和性功能的差异。结果 BCT组术后的生理状况、情感状况和附加的关注评分显著低于MRM组（P〈0.05）,而社会/家庭状况、功能状况、性期望、性欲激起、性高潮和满意度评分显著高于MRM组（P〈0.05、P〈0.01）;BCT组患者术后生存质量和性功能显著优于MRM组（P〈0.05、P〈0.01）。结论保乳手术较改良根治术更能改善早期乳腺癌患者的生存质量和性功能。

Effect of breast-conserving therapy and modified radical mastectomy on the quality of life and sexual function of patients with breast cancer

Objective To compare the effects of breast-conserving therapy(BCT) and modified radical mastectomy(MRM) on quality of life and sexual function of early-stage breast cancer.Methods The clinical data of 70 cases with breast cancer of Ⅰ,Ⅱ stage was analyzed retrospectively,and the patients were divided into BCT group and MRM group according to their surgery method.The postoperative quality of life and sexual function of the two groups were compared.Results The physical well-being,emotional well-being and additional concerns in BCT group were significantly lower than MRM group(P < 0.05),while the social/family well-being,functional well-being,sexual expectation,sexual excitation,orgasm and degree of satisfaction were higher than MRM group(P < 0.05,P < 0.01).The postoperative quality of life and sexual function of BCT group were significantly better than MRM group(P < 0.05,P < 0.01).Conclusion Breast-conserving therapy can refine quality of life and sexual function for breast cancer much better than modified radical mastectomy.