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中华乳腺病杂志(电子版) ›› 2021, Vol. 15 ›› Issue (05) : 311 -314. doi: 10.3877/cma.j.issn.1674-0807.2021.05.008

综述

乳腺癌术后乳房重建手术的患者报告结局研究进展
郑舒月1, 李伦1, 吴炅2,()   
  1. 1. 200032 上海,复旦大学上海医学院肿瘤学系;200032 上海,复旦大学附属肿瘤医院乳腺外科
    2. 200032 上海,复旦大学上海医学院肿瘤学系;200032 上海,复旦大学附属肿瘤医院乳腺外科;510275 广州,肿瘤医学协同创新中心
  • 收稿日期:2020-05-29 出版日期:2021-10-01
  • 通信作者: 吴炅

Patient­reported outcome for breast reconstruction after breast cancer surgery

Shuyue Zheng1, Lun Li1, Jiong Wu2()   

  • Received:2020-05-29 Published:2021-10-01
  • Corresponding author: Jiong Wu
引用本文:

郑舒月, 李伦, 吴炅. 乳腺癌术后乳房重建手术的患者报告结局研究进展[J/OL]. 中华乳腺病杂志(电子版), 2021, 15(05): 311-314.

Shuyue Zheng, Lun Li, Jiong Wu. Patient­reported outcome for breast reconstruction after breast cancer surgery[J/OL]. Chinese Journal of Breast Disease(Electronic Edition), 2021, 15(05): 311-314.

随着乳腺癌筛查诊断手段的进步、生存期的延长以及治愈率的增加,患者更加关注外科治疗对身体外形和生活质量的影响。患者的评价对外科术式的选择显得尤为重要。本综述旨在分析乳腺癌乳房切除术后乳房重建患者报告结局(PRO)的研究现状。常用的PRO量化工具包括Breast-Q量表、癌症治疗功能评价量表(FACT)、欧洲癌症治疗组织(EORTC)生活质量核心量表(QLQ-C30)和乳腺癌特异性量表(QLQ-BR23)等。既往多项研究表明乳房重建可以显著改善PRO,尤其是在身体形象、性健康和乳房满意度方面。重建术式和重建时间影响PRO,自体重建PRO高于植入物重建,延期重建PRO高于即刻重建。此外,乳腺癌术后乳房重建的PRO还受到患者年龄、术前心理状态、放射治疗和术后并发症的影响。随着时间的推移,PRO会不断改善。相较于单纯乳房切除术,乳房重建患者对身体外形的满意度及生活质量更高。

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