COVID-19对乳房切除术后"重建性倦怠"的影响
Victoria A Hodkiewicz1, Christopher Kujalowicz1, Bianca A Di Chiaro2
1From the Division of Plastic and Reconstructive Surgery, Department of Surgery, Loyola University Stritch School of Medicine, Maywood, IL.
Plastic and reconstructive surgery. Global open
|April 15, 2025
概括
随着COVID-19的流行,乳腺切除术后重建性倦怠的风险增加了,特别是在术后辐射或片/植入物并发症的患者中. 这些因素,而不是大流行本身,推动了不完整的乳房重建的更高率.
科学领域:
- 在瘤学瘤学.
- 整形外科 整形外科 整形外科
- 公共卫生 公共卫生
背景情况:
- 乳房切除术后成功的乳房重建是一个复杂的,多步骤的过程.
- 由于COVID-19大流行和选择性手术推迟,重建时间表可能会变得复杂.
- 这项研究调查了大流行对重建性倦怠和完成率的影响.
研究的目的:
- 为了确定COVID-19大流行是否增加了重建性倦怠的发生率.
- 为了确定与乳房切除术后重建性倦怠相关的因素.
- 评估与流行病相关的延迟对乳房重建结果的影响.
主要方法:
- 从2018年1月到2022年1月进行乳房切除术的194名患者的回顾性评估.
- 重建性倦怠的定义:没有乳房或不完整的重大修订.
- 对燃烧预测因素的单变量和多变量模型的分析.
主要成果:
- 后COVID患者显示,重建性倦怠的可能性是2.37倍.
- 手术后的辐射,伤口脱光,感染和/植入物并发症与倦怠相关.
- 多变量分析显示,术后辐射 (2.88x) 和片/植入物失败 (5.74x) 增加了倦怠风险.
结论:
- 疫情时期的乳腺切除术患者的重建性倦怠率更高,主要是由于程序因素.
- 手术后的辐射和导致扩张或片失效的并发症显著增加了倦怠风险.
- 这些发现突出了不完整的乳房重建的关键风险因素.
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