Pain after mastectomy and breast reconstruction.

Pain after mastectomy and breast reconstruction.
复制标题

乳房切除术和乳房重建术后疼痛。

DOI:
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发表时间:
2008
期刊:
The American surgeon
影响因子:
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通讯作者:
D. Narayan
D. Narayan
中科院分区:
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文献类型:
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作者:
N. Vadivelu;M. Schreck;Javier López;Gopal Kodumudi;D. Narayan

文献摘要

被引文献

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乳腺癌是一种潜在的致命疾病,影响八分之一的妇女。随着乳腺癌微创治疗的趋势,如保乳治疗,前哨淋巴结活检,早期放疗和化疗,乳腺癌后的预期寿命增加。然而,乳腺癌手术后的疼痛是一个主要问题,接受乳房切除术和乳房重建的妇女在大约一半的病例中经历术后疼痛综合征。乳房切除术和乳房再造术后的患者可能患有急性伤害性疼痛和慢性神经性疼痛综合征。已经尝试了几种预防措施来控制急性术后疼痛和慢性疼痛状态,例如乳房切除术后疼痛和幻痛。本文综述了最近的研究,以控制急性和慢性疼痛的患者接受微创治疗乳腺癌,如乳房保留乳房切除术和乳房重建,前哨淋巴结活检,早期治疗的放射和化疗。
Breast cancer is a potentially deadly disease affecting one in eight women. With the trend toward minimally invasive therapies for breast cancer, such as breast conserving therapies, sentinel node biopsies, and early treatments of radiation and chemotherapy, life expectancy after breast cancer has increased. However, pain after breast cancer surgery is a major problem and women undergoing mastectomy and breast reconstruction experience postoperative pain syndromes in approximately one-half of all cases. Patients post mastectomy and breast reconstruction can suffer from acute nociceptive pain and chronic neuropathic pain syndromes. Several preventative measures to control acute post operative pain and chronic pain states such as post mastectomy pain and phantom pain have been tried. This review focuses on the recent research done to control acute and chronic pain in patients receiving minimally invasive therapies for breast cancer, such as breast conserving therapies of mastectomies and breast reconstruction, sentinel node biopsies, and early treatments of radiation and chemotherapy.