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目的 探讨乳腺癌保留乳房手术与乳房全切术术后患者的生命质量及心理状态.方法 将176例女性乳腺癌患者中行保留乳房手术者设为保留组(86例),行乳房全切术者设为全切组(90例),采用癌症患者生活质量量表、焦虑自评量表、抑郁自评量表进行测评分析.结果 保留组癌症患者生活质量量表的体象评分显著高于全切组(P0.05).两组焦虑自评量表、抑郁自评量表评分比较差异无统计学意义(P>0.05).结论 保留乳房手术与乳房全切术术后患者生命质量及心理状态无显著差异,但前者体象更好.“,”Objective To explore the quality of life and mental state in breast cancer patients undergoing breast-conserving treatment or radical mastectomy. Methods Eighty-six ones undergoing breast-conserving treatment of 176 breast cancer patients were assigned to conserving group and 90 ones ngmastectomytomastectomyandassessmentsconductedwiththeQualityofLifeCoreQuestionnaire(QLQ-630),Self-ratingAnxietyScale(SAS)andSelf-ratingDepressionScale(SDS).ResultsTheQLQ-C30scoreonbody-imagewassignificantlyhigherinconservingthaninmastectomygroup(P0.05).GroupdifferencesintheSASandSDSscoreshadnostatisticalsignificance(P>0.05).ConclusionTherearenosignificantdifferencesinqualityoflifeandmentalstatebetweenbreastcancerpatientsundergoingbreast-conservingtreatmentandones ngradicalmastectomy,buttheformerhavebetterbodyimage.