乳腺癌切除术后乳房重建情况及影响因素分析  

Analysis of breast reconstruction after mastectomy for breast cancer and its influencing factors

作　　者：宋鹏飞 白宾[1] 赵永强 王雷[1] 秦双[1] 薛会朝[1] SONG Peng-fei;BAI Bin;ZHAO Yong-qiang;WANG Lei;QIN Shuang;XUE Hui-chao(Department of Thyroid and Breast Surgery,the First Affiliated Hospital of Xinxiang Medical College,Xinxiang 453100,Henan,CHINA)

机构地区：[1]新乡医学院第一附属医院甲乳外科,河南新乡453100

出　　处：《海南医学》2025年第5期708-711,共4页Hainan Medical Journal

摘　　要：目的 探讨乳腺癌患者行乳腺切除术后乳房重建情况及其影响因素。方法 回顾性分析2021年4月至2023年4月期间在新乡医学院第一附属医院行单纯乳腺切除术+前哨淋巴结活检的98例乳腺癌患者的临床资料,根据乳腺癌患者行乳腺切除术后的乳房重建情况将患者分为未重建组83例和重建组15例。比较两组患者的临床资料,采用多因素Logistic回归分析乳腺癌患者行乳腺切除术后乳房重建的影响因素。结果 未重建组和重建组患者的体质量指数、发病部位、婚姻状况、术后新辅助化疗、术后辅助化疗比较差异均无统计学意义(P>0.05),而两组患者的年龄、TNM分期、文化程度、居住地、医疗费用支付方式比较差异均有统计学意义(P<0.05);多因素Logistic回归分析结果显示,年龄(OR=1.912,95%CI:1.225~2.983)、TNM分期(OR=2.614,95%CI:1.637~4.176)、文化程度(OR=2.063,95%CI:1.246~3.413)、居住地(OR=2.252,95%CI:1.404~3.612)、医疗费用支付方式(OR=1.809,95%CI:1.053~3.108)均是乳腺癌患者行乳腺切除术后乳房重建的影响因素(P<0.05)。结论 乳腺癌患者乳房切除术后的乳房重建率为15.31%,选择重建手术的比例不高,主要受年龄、TNM分期、文化程度、居住地、医疗费用支付方式的影响。Objective To investigate the status and influencing factors of breast reconstruction after mastectomy in breast cancer patients.Methods A retrospective analysis was conducted on the clinical data of 98 breast cancer patients who underwent simple mastectomy with sentinel lymph node biopsy at the First Affiliated Hospital of Xinxiang Medical University between April 2021 and April 2023.Patients were divided into two groups based on whether they underwent breast reconstruction after mastectomy:a non-reconstruction group(n=83)and a reconstruction group(n=15).Clinical data were compared between the two groups,and multivariate logistic regression analysis was used to identify the influencing factors for breast reconstruction after mastectomy in breast cancer patients.Results There were no statistically significant differences in body mass index,site of onset,marital status,postoperative neoadjuvant chemotherapy,or postoperative adjuvant chemotherapy between the non-reconstruction and reconstruction groups(P>0.05).However,statistically significant differences were observed in age,TNM stage,education level,place of residence,and medical expense payment method between the two groups(P<0.05).Multivariate logistic regression analysis revealed that age(OR=1.912,95%CI:1.225-2.983),TNM stage(OR=2.614,95%CI:1.637-4.176),education level(OR=2.063,95%CI:1.246-3.413),place of residence(OR=2.252,95%CI:1.404-3.612),and medical expense payment method(OR=1.809,95%CI:1.053-3.108)were all influencing factors for breast reconstruction after mastectomy in breast cancer patients(P<0.05).Conclusion The breast reconstruction rate after mastectomy for breast cancer patients is 15.31%,indicating a relatively low proportion of patients choosing reconstruction surgery.The decision to undergo breast reconstruction is mainly influenced by factors such as age,TNM stage,education level,place of residence,and medical expense payment method.

关 键 词：乳腺癌 乳腺切除术 乳房重建 影响因素 

分 类 号：R737.9[医药卫生—肿瘤]