目的探讨提高乳腺癌术后乳房再造质量的途径和方法。 方法对武警北京总队医院2005年9月以来行乳房再造且获随访的37例乳腺癌患者的临床资料进行回顾性分析，就患者满意度和术后并发症分别予以评分，以评价乳房再造术的质量；然后再计算所有病例的平均得分，作为对本组患者乳腺癌术后乳房再造工作的评价参考。 结果满分10分，37例患者中评分无满分者，乳房再造术质量属良好11例，中等19例，较差4例，很差3例；平均得分6.51分，即本组患者行乳腺癌术后乳房再造的最终质量评价为中等。 结论应注意手术方式的选择、医患交流、术后并发症的防治、操作技术水平的提高、加强随访等，才能全面提高乳腺癌术后乳房再造术的质量。
Objective To primarily test the reliability and validity of the Kashin-Beck Disease (KBD) affected big joints function assessing system for adult Tibetans in Rangtang County. Method From June to July 2009, 142 KBD patients were investigated with the function assessing system in Rangtang County of Ngawa. Cronbach’s α coefficient was calculated to estimate internal consistency reliability. Pearson’s r for the correlation of the items with the total score of the scale was computed to test the internal validity. Principal component factor analysis with varimax rotation analysis was conducted to explore construct validity. Result Both the response and complete rates of the scale were 100%. The time for completing the scale was 7.8±3.4 minutes. Cronbach’s α was 0.857, which revealed satisfactory internal consistency reliability. Pearson correlation analysis revealed significant correlation between the scores of each item and the total score of the scale (Plt;0.05). Pearson’s r value of each item was more than 0.4, only except the items of “sitting with legs crossed” and “standing at attention”. The principal factor analysis extracted three latent factors explaining 68.1% of the variation together. The latent factors weights of the items were over 0.4 except the items of “standing at attention”, "taking food” and “wiping after defecation”. Conclusion The reliability and validity of KBD affected big joints function assessing system for adult Tibetans in Rangtang County was good in this primary test, the function assessing system has to be widely applied and further assessed among Tibetans suffered with KBD, in order to provide a standard evaluation criterion in KBD integrate control.