乳房植入体疾病:英国的以患者为中心的方法
B H Miranda1, P E Banwell2, G D Sterne3
1St Andrew's Centre for Plastic Surgery & Burns, Broomfield Hospital, Chelmsford, UK; St Andrew's Anglia Ruskin (StAAR) Research Group, Faculty of Health, Education, Medicine and Social Care, Anglia Ruskin University, Chelmsford, UK.
Journal of plastic, reconstructive & aesthetic surgery : JPRAS
|September 17, 2024
概括
接受乳腺植入物切除手术 (BII) 的患者报告了显著的症状改善. 这项研究强调,囊切除术和扩张术可以为患有乳腺植入物疾病症状的人带来更好的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 患者报告的结果
背景情况:
- 质乳房植入物很常见,越来越多的患者报告了归因于乳房植入物疾病 (BII) 的症状.
- 这些患者经常寻求手术干预,特别是囊切除和植入物切除,以缓解症状.
- 现有的结果数据有限,以指导这项干预的临床决策.
研究的目的:
- 在100名患有BII症状的患者中,评估在100名患有BII症状的患者中,在全囊切除与植入物切除后以患者为中心的结果.
- 提供可以为协商和共享决策流程提供信息的数据.
主要方法:
- 一项多中心研究,涉及100名接受囊切除和植入物切除BII的患者.
- 数据收集采用了一个问卷调查,与医疗记录进行交叉引用.
- 关键数据点包括人口统计,手术细节,手术前后症状得分以及患者对乳房形状的满意度.
主要成果:
- 报告中最常见的BI症状是疲劳 (81%),疼痛 (72%) 和脑雾 (56%).
- 显著的大多数患者 (98%) 经历了平均62%的症状改善.
- 大多数自我报告的症状 (21/28) 在移植后显著改善 (p < 0.05),具有高的整体自我感知BI改善 (76%) 和对乳房形状的满意度 (8/10).
结论:
- 虽然乳房植入物疾病 (BII) 并不是一种正式定义的疾病,但与植入物相关的症状越来越多.
- 囊切除术和植入物切除可能不是所有患者的治疗方法,但可以导致明显的症状改善.
- 建立乳房植入物和BII之间的因果关系需要进一步广泛,前性数据收集.
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