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乳腺癌女性乳房切除术后的乳房重建:一项系统综述与荟萃分析

Breast Reconstruction after Mastectomy in Women with Breast Cancer: A Systematic and Meta-Analysis Review.

作者信息

Anbiyaiee Amir, Abouali Galeh Dari Mahrokh, Anbiyaee Omid, Anbiyaiee Abolghasem

机构信息

Department of Obstetrics and Gynecology, School of Medicine, Ahwaz Jundishapur University of Medical Sciences, Ahwaz, Iran.

Department of Dermatology, School of Medicine, Shiraz University of Medical Sciences, Shiraz, Iran.

出版信息

World J Plast Surg. 2020 Jan;9(1):3-9. doi: 10.29252/wjps.9.1.3.

Abstract

BACKGROUND

Immediate Breast Reconstruction (IBR) is an additional surgical procedure that may increase postoperative complications (such as flap necrosis, infection, and hematoma) and delay the initial time for adjuvant chemotherapy in some patients. In this systematic and meta-analysis, we provide overall survival rates of patients who underwent mastectomy with and without IBR.

METHODS

The following databases were systematically searched between 2015 to 2019 without language restrictions in PUBMED, EMBASE, Web of Science, and Cochrane Library. In addition, the relevant references in the list of all included articles were also checked. The search term included "breast cancer" and "breast reconstruction" "mastectomy".

RESULTS

The sample size was a range from 339 to 5644 patients. The median age was 46.3 years. The results showed no significant differences in terms of overall survival between two groups.

CONCLUSION

The results showed that IBR after mastectomy did not affect the overall survival.

摘要

背景

即刻乳房重建(IBR)是一种额外的外科手术,可能会增加术后并发症(如皮瓣坏死、感染和血肿),并在一些患者中延迟辅助化疗的初始时间。在这项系统评价和荟萃分析中,我们提供了接受乳房切除术伴或不伴IBR的患者的总生存率。

方法

2015年至2019年期间,在PUBMED、EMBASE、科学网和考克兰图书馆中对以下数据库进行了系统检索,无语言限制。此外,还检查了所有纳入文章列表中的相关参考文献。检索词包括“乳腺癌”、“乳房重建”和“乳房切除术”。

结果

样本量为339至5644例患者。中位年龄为46.3岁。结果显示两组之间的总生存率无显著差异。

结论

结果表明乳房切除术后的IBR不影响总生存率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/52d6/7068191/2f7a1817ae6e/wjps-9-03-g001.jpg

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