年龄影响乳房切除术后的临床和患者报告结果 乳房重建
Minji Kim1, Barkat Ali1, Kevin Zhang1
1From the Plastic and Reconstructive Surgery Service, Department of Surgery.
Plastic and reconstructive surgery
|May 23, 2024
概括
老年增加了乳房重建中的并发症风险,但改善了心理社会福祉. 患者应被告知与年龄相关的风险和乳房重建手术的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 在瘤学瘤学.
- 老年医学 老年医学
背景情况:
- 尽管证据有限,但年龄通常被认为是乳房切除术后乳房重建的障碍.
- 晚年对长期手术结果和患者满意度的确切影响尚不清楚.
研究的目的:
- 评估患者年龄对乳房重建后并发症和患者报告结果 (PRO) 的影响.
- 通过使用BREAST-Q调查,纵向分析这些结果,直至手术后五年.
主要方法:
- 对4730名接受自主乳房重建 (ABR) 或基于植入物的重建 (IBR) 的患者进行了回顾性分析.
- 年龄被分析为连续和分类变量.
- 对并发症和BREAST-Q评分进行了手术前,手术6个月后和手术后1-5年的评估.
主要成果:
- 年龄较大与乳房切除皮肤/乳头缩,感染和血清瘤的风险更高相关.
- 增加年龄与对乳房的满意度 (P=0.033) 有负相关性,但与心理社会福祉 (P<0.001) 有正相关性.
- 在老年与胸部的身体健康或性健康之间没有发现显著的相关性.
结论:
- 乳房重建中的并发症率随着患者年龄的增长而增加.
- 老年患者对乳房外观的满意度较低,但心理社会福祉更高.
- 知情同意应包括特定年龄的风险和患者报告的乳房重建预期结果.
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