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首页> 外文期刊>Breast cancer research and treatment. >Does nipple preservation in mastectomy improve satisfaction with cosmetic results, psychological adjustment, body image and sexuality?
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Does nipple preservation in mastectomy improve satisfaction with cosmetic results, psychological adjustment, body image and sexuality?

机译：保留乳房切除术中的乳头是否可以改善对美容效果，心理调节，身体形象和性行为的满意度？

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We investigated the influence of nipple areolar complex (NAC) sparing in mastectomy, on patient satisfaction with cosmetic results, body-image, sexuality and psychological well-being. We developed a specific questionnaire and compared two groups of women who underwent radical mastectomy with immediate breast reconstruction (IBR). Between 2004 and 2006, 310 women with NAC preservation and 143 patients with successive NAC reconstruction were mailed the questionnaire at follow-up 1 year after definitive complete breast reconstruction surgery. 256 questionnaires was available. Our results showed significant differences in favour of the NAC sparing group regarding body image (difficulty in looking at themselves naked and being seen naked by their partners after surgery, P = 0.001 and P = 0.003, respectively); regarding satisfaction with the appearance of the nipple (P < .0001) and with the sensitivity of the nipple (P = 0.001); regarding the feeling of mutilation (P = 0.003). NAC sparing in mastectomy has a positive impact on patient satisfaction, body image and psychological adjustment.
机译：我们调查了乳头切除术中乳头乳晕复合体（NAC）保留对患者对美容结果，身体形象，性行为和心理健康的满意度的影响。我们开发了一个特定的调查表，并比较了两组接受了根治性乳房切除术和即刻乳房再造（IBR）的女性。在2004年至2006年之间，在确定性的完全乳房重建手术后的1年随访中，向310例保留NAC的妇女和143例连续NAC重建的妇女邮寄了问卷。共有256个问卷。我们的结果表明，在支持NAC保留组的身体图像方面存在显着差异（在裸露自己的视线和术后被其伴侣裸露的视线分别为P = 0.001和P = 0.003）;关于对乳头外观的满意度（P <.0001）和对乳头的敏感性（P = 0.001）;关于肢解的感觉（P = 0.003）。保留乳房切除术中的NAC会对患者的满意度，身体形象和心理适应产生积极影响。

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