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目的了解乳腺癌患者术后长期随访服务利用情况及效果,为制订中国女性乳腺癌随访策略提供依据。方法应用系统抽样方法从1996年—2000年住院的5987例患者抽取1197名患者,分析资料齐全的1086名乳腺癌患者术后5年内参加随访检查情况和效果。结果追踪满5年的847名乳腺癌患者中,只有34名(4.0%)患者接受了14次及以上的术后随访复查,131名(15.5%)患者在术后5年内无任何随访服务利用记录。38.3%(18/47)的局部复发或对侧转移和22.0%(18/82)的远端转移是在定期随访中发现的。结论乳腺癌患者术后随访服务的利用率相对低,而随访检查的效果亦有待深入研究。
Objective To understand the long-term follow-up service utilization and effect of postoperative breast cancer patients, and to provide basis for the follow-up strategy of breast cancer in Chinese women. Methods A total of 1,197 patients were enrolled from 5987 patients hospitalized from 1996 to 2000 by systematic sampling method. The data of 1086 breast cancer patients with complete data were analyzed for follow-up examination within 5 years after operation. RESULTS: Of the 847 breast cancer patients tracked for 5 years, only 34 (4.0%) had 14 or more postoperative follow-ups and 131 (15.5%) had no follow-up service within 5 years of surgery recording. 38.3% (18/47) of the local recurrence or contralateral metastases and 22.0% (18/82) of the distal metastases were found in regular follow-up. Conclusion The utilization rate of follow-up service in breast cancer patients is relatively low, and the effect of follow-up examination remains to be further studied.