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目的探讨乳腺癌乳房切除术后选择即刻乳房重建(IBR)影响因素。方法对行全乳切除手术治疗的4315例患者的临床资料进行回顾性分析。结果 2003年1月~2012年12月4315例接受乳房切除术治疗的浸润性乳腺癌患者中,68例患者(约1.6%)接受IBR。所有接受乳房重建的患者都完成了辅助治疗。统计分析提示患者选择IBR的重要影响因素包括:患者的居住地,文化教育水平,医疗保险的种类,是否提供专业医疗知识,年龄,肿瘤的大小,淋巴结的状态,激素受体状态,术后辅助放疗。结论 IBR是安全可行的,不影响术后辅助治疗。同时提示,IBR需要合理和规范的医疗服务。
Objective To investigate the influencing factors of immediate breast reconstruction (IBR) after breast mastectomy. Methods The clinical data of 4315 patients undergoing total mastectomy were retrospectively analyzed. RESULTS: From January 2003 to December 2012, of 4315 patients with invasive breast cancer treated with mastectomy, 68 patients (about 1.6%) received IBR. All patients undergoing breast reconstruction completed adjuvant therapy. Statistical analysis suggests that the important factors influencing the patient’s choice of IBR include: the patient’s place of residence, cultural and educational level, type of medical insurance, whether to provide professional medical knowledge, age, tumor size, lymph node status, hormone receptor status, postoperative support Radiotherapy. Conclusion IBR is safe and feasible without affecting postoperative adjuvant therapy. At the same time, it is suggested that IBR needs reasonable and standard medical services.