期刊文献+

自体组织即刻乳房重建和延迟乳房重建术后生活质量评价 被引量:6

Assessment of Quality-of-life Influence of Immediate or Delayed Autologous Breast Reconstructions
在线阅读 下载PDF
导出
摘要 目的评价自体组织即刻乳房重建和延迟乳房重建术后患者的生活质量。方法通过问卷和电话随访两种形式调查自体组织即刻乳房重建和延迟乳房重建的乳腺癌患者术后生活质量。生活质量问卷是欧洲癌症研究治疗组织制定的调查条例(EORTC QLQ-C30)及专用于乳腺癌的特异模块乳腺癌患者生命质量测定量表QLQ-BR23中文版。2005年1月-2009年10月,共随访到72例,即刻组31例,延迟组41例。结果即刻乳房重建对患者术后生活质量的影响在多方面优于延迟乳房重建。重建乳房对称性、角色功能、社会功能、情绪功能及上肢功能的评价即刻组显著高于延迟组(P<0.001和P<0.05)。结论自体组织即刻乳房重建患者术后生活质量优于延迟乳房重建患者,乳腺癌患者如果有乳房重建的要求,自体组织即刻乳房重建可以作为首选方法。 Objective Our aim is evaluate the Quality-of-life influence of immediate or delayed autologous breast reconstructions.Methods The retrospective analysis of psychosocial outcomes for seventy-two cases of mastectomy with autologous breast reconstructions,including thirty-one immediate cases and forty-one delayed cases through survey questionnaires,which were mailed or inquired by phone at least 6 months after breast reconstruction operation.All patients were evaluated using the European Organization for Research and Treatment of ance(EORTC).Results For the immediate autologous breast reconstruction cohort,significant improvements were observed in symmetry,role function,emotional function,social function and arm symptoms scores(P0.05 and P0.001),compared with delayed reconstruction.Conclusion Immediate autologous breast reconstruction seems to significantly improve psychosocial status for breast cancer patients.Therefore,it should be perfered to women undergoing breast mastectomy.
出处 《肿瘤防治研究》 CAS CSCD 北大核心 2011年第5期535-538,556,共5页 Cancer Research on Prevention and Treatment
基金 中国临床肿瘤学科学基金资助项目(CSCO-康莱特基金)
关键词 即刻乳房重建 延迟乳房重建 生活质量 评价 Immediate autologous breast reconstructions Delayed autologous breast reconstruction Quality of life Assessment
  • 相关文献

参考文献18

  • 1Vandeweyer E, Hertens D, Noqaret JM, et al. Immediate breast reconstruction with saline-filled implants: no interfer- ence with the oncologic outcome? [J]. Plast Reconstr Surg, 2001,107(6) : 1409-1412.
  • 2Wilkins EG, Cederna PS, Lowery JC, et al. Prospective analysis of psychosoeial outcomes in breast reconstruction: one-year postoperative results from the Michigan Breast Reconstruction Outcome Study[J]. Hast Reconstr Surg, 2000, 106(5) : 1014- 1025.
  • 3Hopwood P, Lee A, Shenton A, et al. Clinical follow-up after bilateral risk reducing ("prophylactic")mastectomy: Mental health and body image outcomes[J]. Psychooncology,2000,9 (6) : 462-472.
  • 4吕翠霞,刘言训.乳腺癌患者的生命质量研究[J].肿瘤防治杂志,2005,12(17):1343-1345. 被引量:7
  • 5Aaronson NK, Ahmedzai S, Berqman B, et al. The European Organization for Research and Treatment of Cancer QLQ-C30 : a quality-of-life instrument for use in international clinical trails in oncology[J]. J Natl Cancer Inst, 1993,85 (5): 365-367.
  • 6Sprangers MAJ,Groenvold M, Arraras JI, et al. The European Organization for Research and Treatment of Cancer breast cancer-specific quality of life questionnaire module: First re- sults from a three-country field study[J]. J Clin Oncol, 1996, 14(10) :2756-2768.
  • 7万崇华,杨铮,孟琼,汤学良,卢玉波,邹天宁,张冬梅.乳腺癌患者生命质量测定量表QLQ-BR53中文版的应用评价[J].肿瘤,2006,26(2):184-187. 被引量:75
  • 8Kornblith AB, Herndon JE 2nd, Weiss RB, et al. Long-term ad- justment of survivors of early stage breast carcinoma 20 years after adjuvant chemotherapy [J]. Cancer, 2003, 98 (4): 679- 689.
  • 9Shakespeare V,Hobby JH. Choices and information offered to patients undergoing immediate post-mastectomy breast recon- struction: a survey of patient opinion and self-assessed out come[J].Breast, 2001, 10(6) :508-514.
  • 10Atisha D,Alderman AN, Lowery JC, et al. Prospective analy sis of long-term psychosocial outcomes in breast reconstruc- tion: two-year postoperative results from the Michigan Breast Reconstruction Outcomes Study[J]. Ann Surg, 2008 , 247 (6) 1019-1028.

二级参考文献33

  • 1蔡乐,万崇华,汤学良,卢义波,罗家洪,孟琼,张晓磬.乳腺癌患者生命质量测定量表中文版的制定与考评[J].中国行为医学科学,2004,13(5):592-594. 被引量:36
  • 2韩猛,宋燕.早期乳腺癌保乳治疗与乳腺癌根治术近期及远期疗效比较[J].吉林大学学报(医学版),2006,32(3):504-506. 被引量:6
  • 3Singletary SE, Allred C, Ashley P, et al. Staging system for breast cancer:revisions for the 6th edition of the AJCC Cancer Staging Manual[J]. Surg Clin North Am,2003,83(4) :803-819.
  • 4王永胜,于金明,叶林.乳腺病学[M].3版.济南:山东科学技术出版社,2006:667.
  • 5Gorins A, Espie M, Bedairia N, et al. Hormone replacement therapy in breast cancer patients:a study of 230 patients,with a case-control study[J]. Gynecol Obstet Fertil, 2003,31 (7 - 8):614-619.
  • 6Cocquyt V F, Blondeel P N, Depypere H T,et al. Better cosmetic results and comparable quality of life after skin-sparing mastectomy and immediate autologous breast reconstruction compared to breast conservative treatment[J]. Br J Plast Surg, 2003,56 (5): 462- 470.
  • 7Brandberg Y, Michelson H, Nilsson B, et al. Quality of life in women with breast cancer during the first year after random assignment to adjuvant treatment with marrow-supported high-dose chemotherapy with cydophosphamide, thiotepa, and carboplatin or tailored therapy with Fluorouracil, epirubicin, and cyclophosphamide: Scandinavian Breast Group Study 9401[J]. J Clin Oncol,2003,21(19) :3659-3664.
  • 8Osoba D, Slamon D J, Burchmore M, et al. Effects on quality of life of combined trastuzumab and chemotherapy in women with metastatic breast cancer[J]. J Clin Oncol,2002,20(14):3106-3113.
  • 9Gottschalk L A, Holcombe R F, Jackson D,et al. The effects of anticancer chemotherapeutic drugs on cognitive function and other neuropsychiatric dimensions in breast cancer patients [J].Methods Find Exp Clin Pharmacol, 2003,25 (2): 117- 122.
  • 10Selby P J, Chapman J A, Etazadi-Amoli J, et al. The development of a method for assessing the quality of life of cancer pa tients[J]. BrJ Cancer,1984,50(1):13-22.

共引文献79

同被引文献46

引证文献6

二级引证文献35

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部