隆乳术后疗效综合评估的临床研究
包膜挛缩,,硅凝胶假体；体质指数；包膜挛缩；身体意象；期望值；医患交流,2结果,3讨论,【参考文献】
【摘要】 目的 主要了解隆乳术后并发症的发生情况，患者的手术动机、术后患者的心理状态，患者对于手术疗效的评估结果等，从多方面研究在中国女性特有的身体素质和文化背景下，隆乳手术疗效的影响因素、隆乳手术对于患者生理及心理方面的影响以及心理因素对于手术疗效评估结果的影响。方法 采用回顾性临床研究方法，利用问卷调查的方式收集术后患者的个体资料，同时对患者进行专业的乳房形貌测量。并且由两名整形外科医师分别对患者进行包膜挛缩的Baker分级。结果 32例患者完整地完成了调查问卷，其中25例患者接受了专业的乳房形貌测量和包膜挛缩的Baker分级。改善身体意象是所有女性寻求隆乳手术的目的之一。包膜挛缩是术后最主要的并发症。本次调查群体术后包膜挛缩率为60%～64%(P<0.05)，没有Baker Ⅲ级或Ⅳ级发生。术后总体满意度为81.25%。81.25%的患者认为手术达到或基本达到她们的期望值。结论 包膜挛缩是影响术后疗效的主要因素。防治术后乳房包膜挛缩是确保手术效果的重点。详细而专业的术前医患交流和健康宣教能够帮助患者找到获益和风险的平衡点，建立合理的期望值，从而能够更客观地评价手术疗效。【关键词】 硅凝胶假体；体质指数；包膜挛缩；身体意象；期望值；医患交流
Outcomes of womens breast augmentation and integrated evaluation
CHEN Haizhen,FAN Zhihong.
Department of Plastic Surgery,Renji Hospital Affiliated to Medical College of Shanghai Jiaotong University,Shanghai 200127,China
【Abstract】 Objective Complications are the main reasons which undermine the postoperative outcomes.At present,extent research on psychosocial outcomes of breast augmentation is fraught with methodological limitations.We examined whether psychosocial outcomes were systematically affected by various adverse events.Methods This retrospective clinical research used postoperative questionnaire.We also gave patients professional measurement for the breast appearance and evaluate the capsule formation using the Bakers classification.Results To improve bodyimage is the motivation of all the women. The rate of grade Ⅱ capsular contracture in the study groups was 60 percent to 64 percent (P<0.05) and there was no grade Ⅲ/Ⅳ capsular contracture.81.25 percent women were satisfied with the surgery.81.25 percent women were satisfied with their expectation.Conclusion Capsular contracture is the crucial postoperative adverse event. A professional and detailed preoperative counseling process is strongly recommended. ......
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