Paulson R L, Chang F C, Helmer S D
St. Francis Regional Medical Center, Wichita, Kansas.
Am J Surg. 1994 Dec;168(6):543-6. doi: 10.1016/s0002-9610(05)80119-9.
Immediate reconstruction following mastectomy provides patients the benefit of emerging from their operation with a reconstructed breast mound.
A survey was distributed to 197 Kansas surgeons to determine the frequency of breast reconstruction and to identify factors that may influence them to refer patients for immediate reconstruction.
A response of 78.2% was obtained. Ten percent of mastectomy patients had breast reconstruction. Significant findings were that younger surgeons were more likely to discuss reconstruction with all patients and were more likely to preoperatively refer their patients to a plastic surgeon; surgeons in larger communities had more patients who had undergone immediate reconstruction; surgeons who discussed reconstruction with all patients had more patients who underwent immediate reconstruction; and frequency of immediate reconstruction increased along with increased time spent discussing reconstruction preoperatively.
Our survey indicated that immediate breast reconstruction was rarely performed; however, when it was, a number of factors were correlated. These included the surgeon's age and practice location, attitude toward reconstruction, and time spent preoperatively with patients.
乳房切除术后立即进行重建可为患者带来术后即拥有重建乳房外形的益处。
向197名堪萨斯州的外科医生发放了一份调查问卷，以确定乳房重建的频率，并找出可能影响他们将患者转诊进行立即重建的因素。
得到了78.2%的回复率。10%的乳房切除患者进行了乳房重建。显著的发现是，年轻的外科医生更有可能与所有患者讨论重建问题，并且更有可能在术前将患者转诊给整形外科医生；在较大社区工作的外科医生有更多接受立即重建的患者；与所有患者讨论重建问题的外科医生有更多接受立即重建的患者；并且立即重建的频率随着术前讨论重建所花费时间的增加而增加。
我们的调查表明，立即乳房重建很少进行；然而，当进行时，有许多因素与之相关。这些因素包括外科医生的年龄、执业地点、对重建的态度以及术前与患者相处的时间。
