探索与乳房植入物疾病患者的植入物切除满意度相关的因素:一项PRO BREAST-Q研究
Corey M Bascone1, J Reed McGraw1, Javier A Couto1
1From the Division of Plastic Surgery, Department of Surgery, University of Pennsylvania, Philadelphia, Pa.
Plastic and reconstructive surgery. Global open
|September 27, 2023
概括
在怀疑乳房植入物疾病 (BII) 时,迅速切除乳房植入物可以改善症状和满意度. 更快的去除与较少的残留症状相关,但囊收缩可能会限制心理社会改善.
科学领域:
- 整形外科 整形外科 整形外科
- 患者的治疗结果.
- 医学研究 医学研究
背景情况:
- 乳房植入体疾病 (BII) 是一种研究不足的疾病,其特点是多种症状.
- 目前的治疗包括切除乳腺植入物,但患者报告的结果没有充分记录.
研究的目的:
- 为了调查患者报告的双边乳房植入物切除后的症状和结果,怀疑BII.
- 确定影响症状改善和BII治疗后患者满意度的因素.
主要方法:
- 针对BII (2018-2022) 进行乳房植入物切除的患者的回顾性审查.
- 使用BREAST-Q重建模型和BII特定扩展的患者调查.
- 多变量后勤回归分析,以评估结果预测因素.
主要成果:
- 70%的患者报告说,在移除植入物后,症状有所改善,特别是胸部不适,肌肉疼痛,发烧和头痛.
- 减少去除时间预测了较少的残留症状 (P=0.032).
- 囊收缩与较低的满意度得分相关 (P=0.015),而自付与更高的乳腺满意度相关 (P=0.009).
结论:
- 对BII进行迅速的乳房植入物切除可能会减少残留症状并提高患者的满意度.
- 囊收缩病例的手术前咨询应该澄清,改善可能主要是身体上的.
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