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首页> 外文期刊>Journal of plastic, reconstructive & aesthetic surgery: JPRAS >Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: A nationwide cross-sectional study
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Breast reconstruction with an expander prosthesis following mastectomy does not cause additional persistent pain: A nationwide cross-sectional study

机译：乳房切除术后使用扩张器假体进行乳房再造不会引起额外的持续性疼痛：一项全国性的横断面研究

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Introduction Few studies have examined the prevalence of persistent pain after breast reconstruction with an implant after tissue expansion in comparison to mastectomy without breast reconstruction. Our primary objective was to evaluate the prevalence of persistent pain after breast reconstruction with a subpectoral implant after tissue expansion in a population-based study. Secondary objectives were to evaluate sensory disturbances, lymphoedema and functional impairment. Method This was a nationwide cross-sectional questionnaire study of breast cancer patients aged 18-69 years who were treated with or without reconstruction after mastectomy for primary breast cancer in Denmark between 1 January 2005 and 31 December 2006. The response rate was 84% for mastectomy without reconstruction and 83% for patients treated with breast reconstruction. Results A total of 129 patients treated with mastectomy and breast reconstruction with a subpectoral implant were compared with 1131 patients treated with mastectomy without reconstruction. Prevalence of persistent pain for patients treated with mastectomy followed by reconstruction with an implant was 40% compared to 48% of patients treated only with mastectomy. We found no increased risk of persistent pain in patients having a reconstruction with an implant compared with mastectomy without reconstruction (odds ratio (OR) 0.82, 95% confidence interval (CI) 0.55-1.22, P = 0.33) when adjusting for age, axillary procedure, radiotherapy and chemotherapy. We observed no difference in the prevalence of pain between patients treated with immediate or delayed breast reconstruction (P = 0.116). Conclusion Breast reconstruction with a subpectoral implant after tissue expansion does not confer increased prevalence of persistent pain.
机译：简介与没有乳房重建术的乳房切除术相比，很少有研究检查组织扩张后使用植入物进行乳房重建术后持续疼痛的患病率。我们的主要目标是在一项基于人群的研究中评估组织扩张后使用胸下植入物进行乳房再造后持续性疼痛的患病率。次要目标是评估感觉障碍，淋巴水肿和功能障碍。方法这是一项全国性横断面问卷调查，研究对象为2005年1月1日至2006年12月31日在丹麦接受乳腺切除术后接受或不接受重建的18-69岁乳腺癌患者。无需再造乳腺切除术，接受乳房再造的患者为83％。结果将总共129例接受乳房切除术和经胸下植入物重建乳房的患者与1131例未经重建的乳房切除术患者进行了比较。接受乳房切除术后再植入种植体的患者持续疼痛的发生率为40％，而仅接受乳房切除术的患者为48％。与不进行重建的乳房切除术相比，我们发现在进行年龄，腋窝校正后，与没有进行重建的乳房切除术相比，植入物重建患者的持续性疼痛风险没有增加（几率（OR）0.82，95％置信区间（CI）0.55-1.22，P = 0.33）。程序，放疗和化疗。我们观察到接受立即或延迟乳房重建的患者之间疼痛的发生率无差异（P = 0.116）。结论组织扩张后采用胸下植入物进行乳房再造不会增加持续性疼痛的发生率。

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