三维扫描乳腺癌重建术后乳房体积与位置数据对患者自身满意度的影响

Influence of Breast Volume and Position Data on Patients’ Self-Satisfaction after Three-Dimensional Scanning Breast Cancer Reconstruction

目的:分析三维扫描技术对乳腺癌植入物重建术中乳房体积、乳房下皱襞位置对患者Breast-Q量表评分的影响。方法:收集2020年7月至2022年6月于青岛大学附属医院乳腺病诊疗中心接受乳腺癌植入物重建手术的117名病人的资料,对患者乳房于术前、术后1月、6月应用三维扫描仪进行扫描并测量双侧乳房体积、双侧乳房下皱襞高度,并于术后1月、6月对患者进行Breast-Q量表评分系统评估,并将评估结果与植入物重建术后乳房体积变化、下皱襞高度变化等数据进行统计学分析。结果:术后6月双乳体积差、术后6月双乳下皱襞高度差是患者术后6月乳房满意度评分的独立预测因素,术前患侧乳房体积、术后6月内患侧乳房体积变化、术后6月内双乳下皱襞高度差变化是术后6月内Breast-Q量表评分是否降低的独立预测因素。结论:基于三维扫描的术后6月双乳体积差、双乳下皱襞高度差越小,患者术后6月对重建术后乳房外观越易表示满意;术前患侧乳房体积越小,术后6月内患侧乳房体积变化、双乳下皱襞高度差变化越大,则患者术后6月的乳腺癌重建术后外观主观满意度评价更易下降。

Objective: To analyze the effect of three-dimensional scanning technology breast volume, infram-ammary fold position in breast implant reconstruction surgery on patients’ Breast-Q scale score. Methods: The data of 117 patients who received breast cancer implant reconstruction surgery in the Breast Disease Diagnosis and Treatment Center of the Affiliated Hospital of Qingdao University from July 2020 to June 2022 were collected. Three-dimensional scanner was used to scan and measure the breasts’ volume of bilateral breasts and the height of bilateral inframammary folds before operation, 1 month and 6 months after surgery, and patients were evaluated with the Breast-Q scale scoring system at 1 month and 6 months after surgery. The Breast-Q results and the data of breast volume changes and inframammary fold position changes after implant reconstruc-tion were statistically analyzed. Results: The breast volume difference and the height difference between the inframammary breast folds at 6 months after surgery were independent predictors of breast satisfaction scores at 6 months after surgery. Changes in the breast volume and the height difference of the double inframammary folds within 6 months after surgery were independent pre-dictors of whether the Breast-Q scale score decreased within 6 months after surgery. Conclusions: Based on the three-dimensional scanning, the smaller the volume difference between the two breasts and the height difference between the inframammary folds at 6 months after surgery, the easier it is for patients to express satisfaction with the breast appearance at 6 months after surgery;the greater the change in the volume of the affected breast and the height difference between the two inframammary folds within 6 months after surgery, the more likely the subjective satisfaction evaluation of the patients’ breast appearance after breast cancer reconstruction will be reduced within 6 months after surgery.