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[乳腺癌女性身体姿势的评估]

[Evalution of body posture in women with breast cancer].

作者信息

Barbosa Juliana de Assis Novais, Amorim Maria Helena Costa, Zandonade Eliana, Delaprane Marina Lima

机构信息

Programa de Pós-graduação em Saúde Coletiva, Universidade Federal do Espírito Santo – UFES – Vitória ES, Brasil.

出版信息

Rev Bras Ginecol Obstet. 2013 May;35(5):215-20. doi: 10.1590/s0100-72032013000500005.

Abstract

PURPOSE

To evaluate the body posture of women submitted to treatment for breast cancer, to identify the postural changes in the first three months after surgery and to investigate the correlation of these findings with the woman's age and type and side of surgery.

METHODS

A longitudinal study that monitored the postural changes of 39 women who underwent mastectomy and quadrantectomy. Postural evaluation was performed using the technique of biophotogrammetry before surgery, after drain removal and three months after surgery. Statistical analysis was performed using parametric and nonparametric tests, with the level of significance set at p<0.05.

RESULTS

The average age of the women studied was 50±10.5 years, 48.8% underwent mastectomy and the left breast was operated in 61.5% of them . There was no statistically significant difference in the women's posture during the study period. However, the pelvis and trunk of women submitted to quadrantectomy showed better alignment (90°) compared to the women submitted to mastectomy (91.3°). The women submitted to surgery in the left breast had shoulder elevation and ipsilateral inclination of the trunk within a short period of time.

CONCLUSION

Postural changes were correlated with the type and side of surgery. The follow-up of this group after completion of treatment is needed to clarify long-term postural changes.

摘要

目的

评估接受乳腺癌治疗的女性的身体姿势,确定手术后前三个月的姿势变化,并研究这些发现与女性年龄、手术类型及手术侧别的相关性。

方法

一项纵向研究,监测了39例行乳房切除术和象限切除术的女性的姿势变化。在手术前、拔除引流管后及手术后三个月,采用生物摄影测量技术进行姿势评估。使用参数检验和非参数检验进行统计分析,显著性水平设定为p<0.05。

结果

研究对象的平均年龄为50±10.5岁,48.8%的患者接受了乳房切除术,其中61.5%的患者左侧乳房接受了手术。在研究期间,女性的姿势没有统计学上的显著差异。然而,与接受乳房切除术的女性(91.3°)相比,接受象限切除术的女性的骨盆和躯干显示出更好的 alignment(90°)。左侧乳房接受手术的女性在短时间内出现了肩部抬高和同侧躯干倾斜。

结论

姿势变化与手术类型及手术侧别相关。治疗结束后需要对该组患者进行随访,以明确长期的姿势变化。

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