假体隆乳术患者切口选择意向调查  

A survey of patients＇ preferences for incision locations of breast augmentation surgery

作　　者：孙晶晶 栾杰 穆大力 刘春军 辛敏强 付苏 何懿 陈琳 Sun Jingjing, Luan Jie, Mu Dali, Liu Chuanjun, Xin Minqiang ,Fu Su, He Yi, Chen Lin(Department of Aesthetic and Reconstructive Breast Surgery, Plastic Surgery Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100144, China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院乳房整形美容中心,100144

出　　处：《中华医学美学美容杂志》2018年第5期301-304,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨假体隆乳术患者手术切口的意向，研究术前教育对切口选择的影响。方法2012年5月至2016年12月，于中国医学科学院整形外科医院乳房整形美容中心行假体植入隆乳术患者403例。术前请患者填写《隆乳术切口意向调查问卷》，然后用《隆乳术各切口特点比较表》对患者进行术前教育，之后要求患者再次选择手术切口。分析患者接受术前教育前后切口选择意向变化及影响因素。结果在阅读《隆乳术各切口特点比较表》后，158例（39．21％）患者改变了最初选择，最终205例（50．87％）选择腋窝切口，31例（7．69％）选择乳晕切口，167例（41．44％）选择乳房下皱襞切口。患者选择腋窝和乳晕切口的首要原因是瘢痕位置隐蔽（分别占81．95％和93．55％）；选择下皱襞切口的原因依次是包膜挛缩率较低（31．74％）、手术创伤较小（22．75％）、不损伤乳腺组织（21．56％）。结论良好术前教育能够帮助患者充分了解各切口特点，选择适合的手术切口。Objective To investigate Chinese patients＇ preferences for different types of incisions for breast augmentation surgeries and to evaluate the impacts of preoperative education on patients＇ choices. Methods The 403 patients who underwent implantation surgeries during May 2012 to Dec. 2016 were included in the survey. These patients were investigated with questionnaires before and after receiving preoperative education in order to ascertain their preferences and concerns based on compre- hensive understanding of different types of incisions. Results After receiving the preoperative educa- tion on incisions, 158 （39.21%） patients changed their initial choices. The number of patients who chose axillary or periareolar approaches decreased to 205 （50.87%） and 31 （7.69%） respectively, while the number of patients who chose IMF incisions increased to 167 （41.44%）. The majority of patients who chose the axillary of periareola incisions cited easily-hidden scars as their primary selection criterion （81.95 % and 93.55 %, respectively）. However, the patients who opted for IMF incisions pri- marily concerned about the lower capsular contracture rate （31.74%）, less tissue trauma （22.75 %） and lower possibility of injury to the breast parenchyma （21.56%）. Conclusions The preoperative education materials help the Chinese patients fully understand the characteristics of different types of incision locations and make proper decisions.

关 键 词：假体植入 调查问卷 术前教育 切口选择 患者意向 

分 类 号：R655.8[医药卫生—外科学]