Nicholson R M, Leinster S, Sassoon E M
Norfolk and Norwich University Hospital, UK.
Breast. 2007 Aug;16(4):396-410. doi: 10.1016/j.breast.2007.01.009. Epub 2007 Mar 26.
The cosmetic and psychological outcomes of patients who underwent reconstructive surgery, conservative surgery or simple mastectomy for breast cancer between 1995 and 2002 were compared.
There was a significant correlation between good psychological adjustment and good cosmetic outcome scores (p=0.01-0.05). There was no difference in cosmetic outcome between different reconstruction methods. Reconstruction patients rated their cosmetic outcome better than conservative surgery patients, and conservative surgery patients better than mastectomy patients. There were no differences in psychological outcome between patient groups.
Good perception of cosmetic outcome is associated with good psychological adjustment. There is no cosmetic advantage of one type of reconstruction over another. Reconstruction patients have a better body image compared with other treatment groups but there are no other psychological advantages of one type of treatment over another.
比较了1995年至2002年间接受乳腺癌重建手术、保守手术或单纯乳房切除术的患者的美容和心理结果。
良好的心理调适与良好的美容效果评分之间存在显著相关性（p = 0.01 - 0.05）。不同重建方法之间的美容效果没有差异。重建手术患者对其美容效果的评价优于保守手术患者，保守手术患者优于乳房切除术患者。患者组之间的心理结果没有差异。
对美容效果的良好认知与良好的心理调适相关。一种重建方式相对于另一种并没有美容优势。与其他治疗组相比，重建手术患者有更好的身体形象，但一种治疗方式相对于另一种并没有其他心理优势。
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