Augustinho Lilian Baldan Záccaro, Sabino Neto Miguel, Veiga Daniela Francescato, Abla Luiz Eduardo Felipe, Juliano Yara, Ferreira Lydia Masako
MSc. Physiotherapist, Faculdade de Filosofia Ciências e Letras de Catanduva (FAFICA), Catanduva (SP), Brazil.
MD, PhD. Physician, Adjunct Professor and Coordinator of the Postgraduate Program on Translational Surgery, Universidade Federal de São Paulo (UNIFESP), São Paulo (SP), Brazil.
Sao Paulo Med J. 2018 Nov-Dec;136(6):551-556. doi: 10.1590/1516-3180.2018.032916112018.
Breast cancer is the second most frequent type of cancer worldwide and the most common type among women. The treatment for this condition has evolved over recent decades with therapeutic and technological advances. Breast reconstruction techniques using musculocutaneous flaps from the latissimus dorsi and rectus abdominis have aroused interest regarding patients' quality of life. Our goal here was to compare patients' satisfaction scores after they underwent breast reconstruction using musculocutaneous flaps from either the latissimus dorsi or the rectus abdominis.
Primary, clinical, analytical, observational and cross-sectional study conducted in a federal university and a public hospital.
Demographic and clinical data were collected. The Mini-Mental State Examination was then applied, with testing for specificity and sensitivity. Lastly, a breast evaluation questionnaire was applied to evaluate breast satisfaction among 90 women, who were divided into three groups: mastectomy (control; n = 30); breast reconstruction using flap from the latissimus dorsi (n = 30); and reconstruction using flap from the rectus abdominis (n = 30).
The groups were homogeneous regarding the main demographic data and the questionnaire responses (P < 0.05). Compared with the control group, the reconstruction groups showed significant improvement in satisfaction (P < 0.0002) after one year.
Within our sample, women who underwent breast reconstruction with flaps from either the latissimus dorsi or the rectus abdominis had similar satisfaction scores.
乳腺癌是全球第二常见的癌症类型，也是女性中最常见的癌症类型。近几十年来，随着治疗方法和技术的进步，这种疾病的治疗方式也在不断发展。使用背阔肌和腹直肌肌皮瓣进行乳房重建的技术引发了人们对患者生活质量的关注。我们的目标是比较使用背阔肌或腹直肌肌皮瓣进行乳房重建后患者的满意度得分。
在一所联邦大学和一家公立医院进行的原发性、临床、分析性、观察性和横断面研究。
收集人口统计学和临床数据。然后应用简易精神状态检查表，并进行特异性和敏感性测试。最后，应用一份乳房评估问卷来评估90名女性的乳房满意度，这些女性被分为三组：乳房切除术（对照组；n = 30）；使用背阔肌瓣进行乳房重建（n = 30）；以及使用腹直肌瓣进行重建（n = 30）。
在主要人口统计学数据和问卷回复方面，各组具有同质性（P < 0.05）。与对照组相比，重建组在一年后满意度有显著提高（P < 0.0002）。
在我们的样本中，使用背阔肌或腹直肌瓣进行乳房重建的女性满意度得分相似。
