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自体组织即刻乳房重建和延迟乳房重建术后生活质量评价

Assessment of Quality-of-life Influence of Immediate or Delayed Autologous Breast Reconstructions

  • 摘要: 目的评价自体组织即刻乳房重建和延迟乳房重建术后患者的生活质量。方法通过问卷和电话随访两种形式调查自体组织即刻乳房重建和延迟乳房重建的乳腺癌患者术后生活质量。生活质量问卷是欧洲癌症研究治疗组织制定的调查条例(EORTC QLQ-C30)及专用于乳腺癌的特异模块乳腺癌患者生命质量测定量表QLQ-BR23中文版。2005年1月-2009年10月,共随访到72例,即刻组31例,延迟组41例。结果即刻乳房重建对患者术后生活质量的影响在多方面优于延迟乳房重建。重建乳房对称性、角色功能、社会功能、情绪功能及上肢功能的评价即刻组显著高于延迟组(P<0.001和P<0.05)。结论自体组织即刻乳房重建患者术后生活质量优于延迟乳房重建患者,乳腺癌患者如果有乳房重建的要求,自体组织即刻乳房重建可以作为首选方法。

     

    Abstract: ObjectiveOur aim is evaluate the Quality-of-life influence of immediate or delayed autologous breast reconstructions. MethodsThe retrospective analysis of psychosocial outcomes for seventy-two cases of mastectomy with autologous breast reconstructions, including thirty-one immediate cases and forty-one delayed cases through survey questionnaires,which were mailed or inquired by phone at least 6 months after breast reconstruction operation. All patients were evaluated using the European Organization for Research and Treatment of ance(EORTC). ResultsFor the immediate autologous breast reconstruction cohort,significant improvements were observed in symmetry,role function,emotional function,social function and arm symptoms scores (P<0.05 and P<0.001), compared with delayed reconstruction. ConclusionImmediate autologous breast reconstruction seems to significantly improve psychosocial status for breast cancer patients. Therefore, it should be perfered to women undergoing breast mastectomy.

     

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