乳房切除术后乳房重建的心理影响:一个系统的审查
Nikita Roy1, Margaret H Downes1, Taylor Ibelli1
1Division of Plastic and Reconstructive Surgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Annals of breast surgery : an open access journal to bridge breast surgeons across the world
|August 5, 2024
概括
乳房切除术后的乳房重建通常会改善心理健康. 虽然并不总是优越的,但立即重建和自律选择可能为心理困扰提供额外的好处.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 心理学 心理学 心理学
背景情况:
- 乳腺癌的乳房切除通常需要进行乳房重建 (BR).
- 乳房切除术后BR的心理社会影响需要全面审查.
- 现有的关于BR和心理困扰的文献是零碎的.
研究的目的:
- 系统地审查和综合关于乳房重建对术后心理困扰的影响的证据.
- 为了比较单独的乳腺切除术和乳腺切除术与乳腺重建之间的心理结果.
- 根据重建的时间 (即时 vs 延迟) 和类型 (植入 vs 自主) 来分析差异.
主要方法:
- 在主要数据库 (PubMed,谷歌学者,EMBASE,PSYCinfo,科学网) 进行系统的文献审查.
- 包括临床研究评估心理痛苦作为乳房切除术后的主要结果和BR.
- 仅进行乳腺切除术 (MA) 与乳腺切除术与乳腺重建 (MBR),即时与延迟的BR,以及基于植入物的与自身的重建的比较分析.
主要成果:
- 审查了九十九项研究 (1980-2021年).
- 大多数研究 (69.2%) 将MBR与MA进行比较,表明MBR的心理结果优越.
- 在少数研究中 (28.6%),即时BR比延迟BR显示出潜在的益处,大多数研究没有发现显著差异.
- 在50%的比较研究中,自主重建导致对乳房外观的满意度更高.
结论:
- 乳房重建通常对乳房切除术后的心理结果产生积极影响.
- 立即的乳房重建可能比延迟的重建有优势.
- 需要进一步的研究来澄清特定的重建技术对心理痛苦的影响.
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