Department of Breast Surgery, Beijing Chao-Yang Hospital, Capital Medical University, Beijing 100020, China.
J Healthc Eng. 2021 Oct 26;2021:2840043. doi: 10.1155/2021/2840043. eCollection 2021.
To investigate the impact of immediate breast reconstruction (IBR) after standardized breast cancer (BC) surgery on the quality of life of patients.
A total of 878 BC patients were included, who were diagnosed and treated in the breast surgery department between January 2016 and December 2018. The patient underwent immediate postoperative breast reconstruction surgery. Subsequently, safety, efficacy, and postoperative morphology were scored and evaluated for the comprehensive analysis of the clinical therapeutic effects.
With longer postoperative time, a lower proportion of the follow-up population experienced limb edema, capsular contracture, infection, calcifications around the prosthesis, prosthesis dislocation, delayed wound healing, chronic lymphadenopathy, pain, and prosthesis rupture, indicating a high safety. And the follow-up patients' breast appearance and shape largely returned to normal at 12 months postoperatively. Additionally, patients with 3 and 6 months of follow-up had a higher quality of life and better aesthetic breast reconstruction outcomes compared to the perioperative period.
The implementation of standardized IBR after breast cancer improves the quality of life of patients after surgery with fewer complications and a good safety profile.
研究标准化乳腺癌（BC）手术后即刻乳房重建（IBR）对患者生活质量的影响。
选取 2016 年 1 月至 2018 年 12 月在乳腺外科诊断和治疗的 878 例 BC 患者，术后即刻行乳房重建手术。对术后安全性、疗效及术后形态进行评分，综合分析临床治疗效果。
随着术后时间的延长，随访人群中肢体肿胀、包膜挛缩、感染、假体周围钙化、假体脱位、伤口愈合延迟、慢性淋巴结病、疼痛和假体破裂的比例降低，表明安全性高。术后 12 个月随访患者的乳房外观和形状基本恢复正常。此外，与围手术期相比，术后 3 个月和 6 个月随访的患者生活质量更高，美学乳房重建效果更好。
乳腺癌标准化 IBR 的实施提高了术后患者的生活质量，且并发症少，安全性良好。
