即刻与延迟乳房重建：健康相关生活质量和乳房满意度的长期随访。

Immediate versus delayed breast reconstruction: Long-term follow-up on health-related quality of life and satisfaction with breasts.

机构信息

Division of Musculoskeletal and Plastic Surgery, Department of Plastic Surgery, University of Helsinki and Helsinki University Hospital, Park Hospital, PB 281, 00029 HUS Helsinki, Finland.

Unit of Musculoskeletal Disease, Department of Orthopedics and Traumatology, Tampere University Hospital and University of Tampere, PB 2000, FI-33521 Tampere, Finland.

出版信息

J Plast Reconstr Aesthet Surg. 2024 Jan;88:478-486. doi: 10.1016/j.bjps.2023.11.028. Epub 2023 Nov 23.

DOI:10.1016/j.bjps.2023.11.028

PMID:38101261

Abstract

INTRODUCTION

Health-related quality of life (HRQL) can be improved by breast reconstruction following mastectomy. The optimal timing of the reconstruction remains unclear.

METHODS

A cross-sectional study on 338 women who had undergone immediate or delayed breast reconstruction between 08/2017 and 07/2019 was performed. The postoperative HRQL was assessed using the BREAST-Q Reconstruction Module and the 36-Item Short Form Survey (SF-36). Regression analysis was performed for group-wise comparison.

RESULTS

A total of 146 (43%) patients participated. Seventy-seven patients (53%) had undergone immediate, and 69 patients (47%) had delayed reconstruction. The median age was 55 years (interquartile ratio [IQR] 50-62) for the Immeda group te, and 60 years (IQR 54-65) for the delayed reconstruction group. The median follow-up time was 2.3 years (IQR 1.8-2.9). No difference between the groups was detected in satisfaction with breasts (median 61, IQR 53-71 vs. 62, IQR 46-71, p = 0.62), physical well-being of the chest (median 100, IQR 80-100 vs. 100, IQR 80-100, p = 0.95) or psychosocial well-being (median 69, IQR 54-83 vs. 62, IQR 54-74, p = 0.19). No difference was detected in the SF-36 domains either.

CONCLUSIONS

The timing of the breast reconstruction does not affect the postoperative HRQL. Patients with both immediate and delayed breast reconstruction reported high satisfaction with the breast and psychosocial well-being.

摘要

简介

乳房切除术后进行乳房重建可提高与健康相关的生活质量（HRQL）。重建的最佳时机仍不清楚。

方法

对 2017 年 8 月至 2019 年 7 月期间行即刻或延迟乳房重建的 338 名女性进行了横断面研究。使用 BREAST-Q 重建模块和 36 项简短调查问卷（SF-36）评估术后 HRQL。进行了回归分析以进行组间比较。

结果

共纳入 146 例（43%）患者。77 例（53%）患者行即刻重建，69 例（47%）行延迟重建。Immeda 组的中位年龄为 55 岁（四分位距 [IQR] 50-62），延迟重建组为 60 岁（IQR 54-65）。中位随访时间为 2.3 年（IQR 1.8-2.9）。两组间乳房满意度（中位数 61，IQR 53-71 与 62，IQR 46-71，p=0.62）、胸部生理健康（中位数 100，IQR 80-100 与 100，IQR 80-100，p=0.95）或心理健康（中位数 69，IQR 54-83 与 62，IQR 54-74，p=0.19）均无差异。SF-36 各维度也无差异。