%0 Journal Article
%T ACOSOG Z0011试验结果对中国乳腺外科医生临床实践影响的调查
%A 刘淼
%A 张嘉庆
%A 杨后圃
%A 王思源
%A 王殊
%A 谢菲
%A 郭嘉嘉
%J 肿瘤防治研究
%D 2016
%R 10.3971/j.issn.1000-8578.2016.01.011
%X 摘要 目的 了解我国乳腺外科医生对于美国外科医师学会肿瘤学组（American College of SurgeonsOncology Group, ACOSOG）Z0011试验的认知情况，分析Z0011试验结果对中国乳腺外科医生外科实践的影响程度。方法 通过问卷调查的方式调查中国乳腺外科医生对Z0011试验的了解情况以及在知道Z0011试验结果前后对于符合Z0011试验入组标准的乳腺癌患者腋窝处理方式的意见并分析相关因素。结果 回馈调查问卷的427位医生中有116人（27.2%）对Z0011试验熟悉，不知道的有122人（28.5%）。在知晓Z0011试验结果的305位医生中，在知晓前后，对于符合Z0011试验入组标准的乳腺癌患者，不倾向于做腋窝淋巴结清扫术（axillary lymph node dissection, ALND）的医生分别为78人（25.6%）和115人（37.7%）。医生所属医院的级别、所在地区、受教育程度、从事专业的时间与医生对Z0011试验了解程度之间都存在显著性关系（P<0.05），而与医生在知道Z0011试验结果之后的外科策略选择之间没有相互性关系（P>0.05）。结论 我国乳腺外科医生对Z0011试验的认知程度及接受程度仍较低
%K 乳腺癌
%K 前哨淋巴结
%K 前哨淋巴结活检
%K 腋窝淋巴结清扫
%K 调查
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%U http://www.zlfzyj.com/CN/abstract/abstract8681.shtml