腹下深穿支皮瓣乳房重建术术后并发症对患者报告结果的影响。

IF 2.9
Xuhui Guo, Xilong Gong, Lina Wang, Hui Xiao, Yue Yang, Dechuang Jiao, Jiao Zhang, Zhenzhen Liu
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引用次数: 0

摘要

目的:本研究旨在探讨影响上腹部深下穿支(DIEP)皮瓣乳房重建术后并发症发生的因素,并确定这些并发症是否对中国患者的生活质量产生影响。方法:收集2019年12月至2023年12月在郑州大学附属肿瘤医院乳腺科行DIEP皮瓣乳房重建术患者的临床资料。我们分析了术后并发症的发生率及其与患者临床资料和手术参数的关系。我们还使用BREAST-Q 2.0中文版量表来评估术后并发症对患者报告结果的影响。结果:109例患者行DIEP皮瓣乳房重建术,其中一期91例,二期18例。术后并发症26例(23.9%),其中皮瓣并发症13例(11.9%),腹部供区并发症13例(11.9%)。单因素和多因素分析显示,并发症的总发生率与高BMI和早期手术相关(P < 0.05)。结论:接受DIEP皮瓣乳房重建术的患者发现,高BMI、新辅助治疗和腹部切口疤痕可能影响术后并发症。有限的随访数据表明,术后并发症不影响患者报告的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Impact of postoperative complications on patient-reported outcomes in deep inferior epigastric perforator flap breast reconstruction.

Objective: This study aims to investigate the factors that influence the occurrence of complications following deep inferior epigastric perforator (DIEP) flap breast reconstruction, and to determine whether these complications have an impact on the patient's quality of life in China.

Methods: We collected clinical data from patients who underwent DIEP flap breast reconstruction at the Department of Breast, Affiliated Cancer Hospital of Zhengzhou University between December 2019 and December 2023. We analyzed the incidence of postoperative complications and their relationship with patient clinical data and surgical parameters. We also used the BREAST-Q 2.0 Chinese version scale to assess the impact of postoperative complications on patient-reported outcomes.

Results: A total of 109 patients underwent DIEP flap breast reconstruction, including 91 stage I reconstructions and 18 stage II reconstructions. Postoperative complications occurred in 26 cases (23.9%), including flap complications in 13 cases (11.9%) and abdominal donor-site complications in 13 cases (11.9%). Univariate and multivariate analyses showed that the overall incidence of complications was associated with high BMI and early surgery (P < 0.05). Flap complications were associated with high BMI, early surgery, and the use of internal mammary vascular branches as recipient vessels (P < 0.05). Abdominal complications were associated with previous abdominal surgery scars (P < 0.05). Approximately 20% of patients did not complete the BREAST-Q questionnaires (including the two patients who experienced total flap loss). BREAST-Q scores showed no significant differences between the surgical complication group and the no-complication group in terms of breast satisfaction, mental health, physical health-chest, physical health-abdomen, satisfaction with abdomen, sexual health, etc. (P > 0.05).

Conclusion: Patients who underwent DIEP flap breast reconstruction revealed that high BMI, neoadjuvant therapy, and abdominal incision scars may influence postoperative complications. The limited follow-up data indicated that postoperative complications did not impact patient-reported outcomes.

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