Women's quality of life and surgical long-term outcome after breast reconstruction in Poland syndrome patients.
Women's quality of life and surgical long-term outcome after breast reconstruction in Poland syndrome patients.
复制标题
波兰综合征患者乳房重建后女性的生活质量和手术长期结果。
DOI：
10.1089/jwh.2010.2211
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发表时间：
2011
期刊：
影响因子：
--
通讯作者：
L. Kovacs
中科院分区：
文献类型：
--
作者：
N. Papadopulos;M. Eder;S. Stergioula;H. Teymouri;M. Mavroudis;P. Herschbach;G. Henrich;O. Papadopoulos;E. Biemer;L. Kovacs
背景
在过去的几十年里，几种手术方法已被用来改善女性波兰综合征患者的外观和生活质量。本研究的目的是分析乳房再造后妇女的生活质量和长期结果。
方法
1974年至2007年期间接受手术治疗的49名波兰综合征妇女接受了标准化问卷调查，以评估其手术治疗后的生活质量和满意度。
结果
患者反应率为65%，其中32份完成的问卷，16名患者接受了带蒂背阔肌肌皮瓣（LDM），12名患者接受了组织扩张器或硅胶植入物，4名患者接受了游离横腹直肌肌皮瓣（TRAM）。在这些患者中，16例对术后外观满意或高度满意（13例LDM，2例假体，1例TRAM），16例患者在类似情况下会向其他人推荐相同的手术18例患者再次选择相同的方法（14例LDM，3例假体，1例TRAM）。
结论
在我们的研究中，我们发现乳房再造取得了令人满意的结果，特别是当使用LDM皮瓣，这仍然是唯一的方法，重建腋前皱襞。关于自体组织重建方法的未来研究（例如，然而，需要TRAM（腹壁深下穿支[DIEP]皮瓣）来分析波兰综合征患者的生活质量和长期结局。
BACKGROUND
In the last decades, several surgical approaches have been used to improve the appearance and quality of life of female Poland syndrome patients. The aim of this study was to analyze the women's quality of life and long-term outcome after breast reconstruction.
METHODS
Forty-nine women with Poland syndrome who were treated surgically between 1974 and 2007 received standardized questionnaires to evaluate their quality of life and satisfaction after surgical treatment.
RESULTS
Patient response was 65%, with 32 completed questionnaires by 16 women who had pedicled latissimus dorsi myocutaneous (LDM) flaps, 12 with tissue expander or silicone implants, and 4 who had free transverse rectus abdominis myocutaneous (TRAM) flaps. Of these patients, 16 were satisfied or highly satisfied with their postoperative appearance (13 with LDM, 2 with prosthesis, and 1 with TRAM), 16 patients would recommend the same surgery to others under similar circumstances (10 with LDM, 5 with prosthesis, and 1 with TRAM), and 18 patients would choose the same method again (14 with LDM, 3 with prosthesis, and 1 with TRAM).
CONCLUSIONS
In our study, we found that satisfactory outcome in breast reconstruction was achieved particularly when using the LDM flap, which remains the only method that recreates the anterior axillary fold. Future studies on reconstruction methods with autogenous tissue (e.g., TRAM, deep inferior epigastric perforator [DIEP] flap) are needed, however, to analyze quality of life and long-term outcome in patients with Poland syndrome.