摘要
目的分析影响乳腺癌患者选择保留乳房手术治疗的因素。方法回顾性分析256例乳腺癌患者的临床资料,依据手术方式分为保留乳房手术组和乳腺根治术组。收集患者一般临床资料,采用单因素及多因素Logistic分析影响乳腺癌患者选择保留乳房手术治疗的因素。结果乳腺根治术组家庭人均可支配收入少、居住地在乡村、癌症家族史、乳腺良性疾病史、对放疗怀有恐惧、外科医生不建议保乳人数占比高于保留乳房手术组,差异有统计学意义(P<0.05);多因素Logistic回归分析显示,家庭人均可支配收入少、居住地在乡村、癌症家族史、乳腺良性疾病史、对放疗怀有恐惧、外科医生不建议保乳均是影响乳腺癌患者选择保留乳房手术的独立危险因素。结论家庭人均可支配收入少、居住地在乡村、癌症家族史、乳腺良性疾病史、对放疗怀有恐惧、外科医生建议均是影响乳腺癌患者选择保留乳房手术的独立危险因素。
Objective To analyze the factors of breast surgery in breast cancer patients.Methods 256 breast cancer patients were classified into reserved breast surgery and radical breast surgery.General clinical data was collected and single and multi-factor logistic analyzed breast surgery selection factors in breast cancer patients.Results Family per capita disposable income,residence in rural,cancer family history,benign breast disease history,fear of radiotherapy,surgeons do not recommend breast preservation(P<0.05);multi-factor Logistic regression analysis shows,residence,cancer family history,benign breast disease history,fear of radiation therapy,surgeons do not recommend breast protection are independent risk factors affecting breast cancer patients.Conclusion Less disposable income,residence in villages,cancer family history,benign breast disease,fear of radiotherapy and surgeon advice are all independent risk factors affecting the choice of breast surgery retention of breast cancer patients.
作者
院文倩
赵培
李丹
郭员志
徐涵
于洋
YUAN Wenqian;ZHAO Pei;LI Dan(Henan People's Hospital,Zhengzhou,450000)
出处
《实用癌症杂志》
2022年第5期819-821,825,共4页
The Practical Journal of Cancer
基金
河南省医学科技攻关计划(编号:2020010653)。
关键词
乳腺癌
保留乳房手术
影响因素
Breast cancer
Retaining breast surgery
Influencing factors