Schmauss A K, Kirsch A, Schönhof P
Zentralbl Chir. 1985;110(1):12-25.
55 women having had radical mastectomy were interviewed. In 40 of them a continuing anxiety could be shown to exist. Grief, consternation about the loss of attractivity and disfigurement of the body could be found in 50 of them. The loss of self confidence may be followed by disturbances of sexuality, marital and interpersonal relationships. Reintegration into social live is often difficult, relations with the social environment being interrupted. In the course of the patient's preoperative information these emotional disturbances must be discussed by the surgeon. 17 of these patients were interviewed again after successful breast reconstruction. In all of them psychological reactions could be found to be lowered and there was a rise of self confidence, too. Therefore rehabilitation of women after mastectomy must be considered to be an important part of treatment. "Today and in future surgery will include more than mere operations."
对55名接受了根治性乳房切除术的女性进行了访谈。其中40人表现出持续焦虑。50人存在悲伤情绪，对失去吸引力和身体毁容感到惊愕。自信心丧失之后可能会出现性、婚姻和人际关系方面的困扰。重新融入社会生活往往很困难，与社会环境的关系被中断。在患者术前告知过程中，外科医生必须讨论这些情绪困扰。其中17名患者在成功进行乳房重建后再次接受访谈。在所有这些患者中，都发现心理反应有所减轻，自信心也有所增强。因此，乳房切除术后女性的康复必须被视为治疗的重要组成部分。“如今及未来，手术将不仅仅是单纯的操作。”
