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乳腺癌患者乳房切除术与肿块切除术满意度的比较。

Comparison of satisfactions from mastectomy and Lump Ectome in breast cancer patients.

作者信息

Tazhibi Mehdi, Sarrafzadeh Sheida, Mokarian Fariborz, Babazade Shady, Tabatabaeian Maryam, Rezaei Parisa, Faghihi Mehri, Taleghani Fariba

机构信息

Departments of Biostatistics and Epidemiology, School of Health, Seied-o-Shohada Hospital, Isfahan, Iran.

Department of Oncology, Seied-o-Shohada Hospital, Isfahan, Iran.

出版信息

J Educ Health Promot. 2014 Feb 21;3:22. doi: 10.4103/2277-9531.127611. eCollection 2014.

Abstract

INTRODUCTION

The prevalence of breast cancer among women in compare to other types of cancers in all over the world and in Iran is high. Mastectomy surgery is one of the common treatments for these patients. Another method, which is less invasive, is Lumpectomy. This study comprised the satisfaction of patients under two types of surgery; Mastectomy and Lumpectomy.

MATERIALS AND METHODS

In this cross-sectional study, two types of patients which had either, Mastectomy or Lumpectomy, were studied.

RESULTS

From 119 patients which studied here, 80 patients (66.7%) were treated by mastectomy and 39 patients (32.5%) were treated under lumpectomy. Two groups had not significant differences in duration between diagnostic and surgery, the number of lymph nodes involved and the number of lymph nodes removed. Lumpectomy patients had higher pain and numbness in 24 h, 1 week after surgery and at the time of study than the other group. The observed difference was significant (P = 0.043).

DISCUSSION

It is implied in previous studies that patients under lumpectomy had more satisfaction than patients under mastectomy. However, no differences were observed in quality-of-life between the two groups in some other studies. The differences between various studies might be for the sake of cultural variety and time interval between surgery and filling questionnaire.

摘要

引言

与世界其他类型癌症相比,乳腺癌在全球及伊朗女性中的发病率较高。乳房切除术是这些患者常用的治疗方法之一。另一种侵入性较小的方法是肿块切除术。本研究包括接受乳房切除术和肿块切除术这两种手术的患者的满意度。

材料与方法

在这项横断面研究中,对接受乳房切除术或肿块切除术的两类患者进行了研究。

结果

在本研究的119例患者中,80例(66.7%)接受了乳房切除术,39例(32.5%)接受了肿块切除术。两组在诊断与手术之间的持续时间、受累淋巴结数量和切除淋巴结数量方面无显著差异。肿块切除术患者在术后24小时、1周及研究时的疼痛和麻木感高于另一组。观察到的差异具有统计学意义(P = 0.043)。

讨论

先前的研究表明,接受肿块切除术的患者比接受乳房切除术的患者满意度更高。然而,在其他一些研究中,两组之间的生活质量没有差异。不同研究之间的差异可能是由于文化差异以及手术与填写问卷之间的时间间隔。

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