乳腺癌术后即时假体植入乳房重建对乳腺癌患者术后并发症与美学评价的影响

Effect of Breast Reconstruction with Immediate Postoperative Prosthesis Implantation on Postoperative Complications and Aesthetic Evaluation of Breast Cancer Patients

目的:探讨乳腺癌术后即时假体植入乳房重建对乳腺癌患者的影响。方法:选取2021年1月—2023年6月龙岩人民医院收治的50例乳腺癌患者作为研究对象,按照随机投掷法分为观察组和对照组,每组各25例。对照组采用乳腺癌切除术,观察组采用乳腺癌切除术+即时假体植入乳房重建。比较两组乳房外形与对称度、心理状态、需求满足、满意度及术后并发症发生情况。结果:术后半年,观察组乳房外形与对称度的优良率、满意度均高于对照组,心理状态、需求满足的改善情况均优于对照组,差异有统计学意义(P<0.05);两组术后并发症发生率比较,差异无统计学意义(P>0.05)。结论:乳腺癌术后即时假体植入乳房重建,不仅能有效保障乳房外形与对称度,满足患者对于美的需求,还能减轻其心理压力,提高患者对手术治疗的满意度,且安全性较高。

Objective:To investigate the impact of breast reconstruction with immediate postoperative prosthetic implants in breast cancer patients.Method:50 cases of breast cancer patients admitted to Longyan People's Hospital from January 2021 to June 2023 were selected as the study subjects,and the patients were divided into the observation group and the control group according to the method of random casting,with 25 cases in each group.Patients in the control group were treated with mastectomy for breast cancer,and patients in the observation group were treated with mastectomy and immediate prosthesis implantation for breast reconstruction.The breast shape and symmetry,psychological state,need fulfillment,satisfaction and the occurrence of postoperative complications were compared between the two groups.Result:Six months after the operation,the excellent rate and satisfaction of breast shape and symmetry of patients in the observation group were higher than those in the control group,and the improvement of psychological state and need satisfaction were better than those of the control group,with a statistically significant difference(P<0.05).The difference in the incidence of postoperative complications between the two groups was not statistically significant(P>0.05).Conclusion:Immediate postoperative breast reconstruction with prosthesis implantation can not only effectively guarantee the shape and symmetry of the breast meet the demand for beauty,but also reduce their psychological pressure and improve their satisfaction with the surgical treatment,with high safety.