Björkman Berit, Arnér Staffan, Hydén Lars-Christer
Department of Physiology and Pharmacology, Section of Anesthesiology and Intensive Care, Karolinska Institutet, Stockholm, Sweden.
J Pain. 2008 Nov;9(11):1018-25. doi: 10.1016/j.jpain.2008.06.003. Epub 2008 Jul 30.
Patients often experience hard-to-treat neuropathic pain and other sensations after surgery; consequently, they could develop chronic pain conditions. The phantom limb phenomenon is a well-documented postoperative pain condition. However, phantom phenomena after mastectomies are less documented. The reviews report several views on the prevalence of breast phantoms and coexisting distress. Researchers observed that new methodological approaches might facilitate further research of these issues. This prospective, qualitative study used semistructured interviews to acquire knowledge of if and how phantom breast phenomena appear within the range of other postmastectomy symptoms and sensations. The study revealed that a phantom breast could be difficult to describe and position spatially. The phantom breast phenomenon varied from classic phantom extremity phenomenon and did not seem to cause much distress. However, it proved to be a phenomenon so unknown and different that there is urgent need for more knowledge. This study highlights the importance of further investigation regarding how information and communication related to a phantom breast might be developed.
The phantom breast is only one piece of a complicated puzzle. Because it was relatively unknown for the women in the study, it is important that analyses of this phenomenon, as a part of a postmastectomy syndrome, be conducted in a dialogue with the patients, by scientifically using qualitative methods.
患者术后常经历难以治疗的神经性疼痛和其他感觉;因此,他们可能会发展为慢性疼痛病症。幻肢现象是一种有充分文献记载的术后疼痛病症。然而,乳房切除术后的幻肢现象记录较少。综述报告了关于乳房幻像的患病率和并存困扰的几种观点。研究人员观察到,新的方法学途径可能有助于对这些问题进行进一步研究。这项前瞻性的定性研究采用半结构化访谈,以了解幻乳现象是否以及如何在其他乳房切除术后症状和感觉范围内出现。研究表明,幻乳可能难以描述且在空间上定位。幻乳现象与典型的幻肢现象不同,似乎不会引起太多困扰。然而,事实证明这是一种鲜为人知且与众不同的现象,迫切需要更多了解。这项研究强调了进一步调查与幻乳相关的信息和沟通方式的重要性。
幻乳只是一个复杂难题的一部分。由于在该研究中的女性对其相对不了解,作为乳房切除术后综合征的一部分,通过科学运用定性方法与患者进行对话来分析这一现象很重要。