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- W3032302680 abstract "目的 探讨乳腺癌保乳术后影响乳房形态的因素及提高保乳术后乳房美学效果的方法.方法 由整形外科医师和患者分别对67例乳腺癌保乳术后的美学效果做出各自独立的评价,单因素分析采用 Mann-Whitney U检验,而多因素分析则应用Logistic回归的方法.结果 医师对保乳术后乳房形态的满意率为65.7%.单元素分析中,年龄(P=0.003)、体重指数(P=0.002)、绝经状况(P=0.002)、放疗剂量(P=0.022)、肿物位于外上象限时的切口数量(P=0.036)、切除次数(P=0.036)、纤维化(P=0.002)、手术方式(P=0.002)对保乳术后乳房形态具有明显的影响.多元素分析中,纤维化、手术方式、放疗剂量对术后乳房形态具有明显影响(P=0.009、0.001、0.019).患者对保乳术后乳房形态的满意率为76.1%.单元素分析中,手术方式(P=0.001)和纤维化(P=0.045)对乳房形态影响明显,差异具有统计学意义.多元素分析中,手术方式对术后乳房形态影响明显(P=0.005).结论 患者和医师的满意率具有正相关性(R=0.701,P＜0.01).在可能影响乳房美学的27项因素中,年龄、体重指数、绝经状况、放疗剂量、肿物位于外上象限时的切口数量、切除次数、纤维化、手术方式对术后乳房形态影响明显。" @default.
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- W3032302680 date "2006-10-15" @default.
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- W3032302680 title "Multi-factors analyses affecting cosmetic results after breast conservation therapy" @default.
- W3032302680 doi "https://doi.org/10.3760/cma.j.issn.1671-0290.2006.05.007" @default.
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