BACKGROUND Breast reconstruction after mastectomy helps women with breast cancer feel better about their bodies and lives. There is debate about the best time and type of reconstruction (immediate versus delayed, and using own tissue versus implants). Long-term studies are rare. AIM This study looked at long-term results of different breast reconstruction methods and timings in Swedish women who had mastectomies in 2000, 2005 or 2010. It focused on how satisfied the women were with their surgeries and their quality of life. METHOD The study included 5853 women from the Swedish National Breast Cancer Registry who had mastectomies in 2000, 2005 or 2010. Of these, 2904 women answered the survey, and 895 had breast reconstruction. Satisfaction and quality of life were measured using two surveys: EORTC QLQ-BRECON23 and BREAST-Q. RESULTS Of the women who answered the survey, 895 (31%) had breast reconstruction. Of these, 176 (20%) had immediate reconstruction, and 719 (80%) had delayed reconstruction; 58% had implant-based reconstructions, 31% had reconstructions using their own tissue, 2% had both types and 9% did not report the type of reconstruction. There were no major differences in satisfaction between immediate and delayed reconstruction. Women who used their own tissue were more satisfied with their results and breast appearance than those with implants. CONCLUSION Autologous reconstruction leads to better satisfaction and outcomes than implants. The timing of reconstruction (immediate versus delayed) was less of an influence on quality of life.

中文翻译：

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SweBRO 3 中乳房重建的时机和类型：长期结果。


背景乳房切除术后的乳房重建可以帮助患有乳腺癌的女性对自己的身体和生活感觉更好。关于重建的最佳时间和类型（立即重建与延迟重建、使用自身组织与植入物）存在争议。长期研究很少见。目的 这项研究着眼于 2000 年、2005 年或 2010 年接受乳房切除术的瑞典女性采用不同乳房重建方法和时间的长期结果。研究重点是女性对手术和生活质量的满意度。方法 这项研究纳入了来自瑞典国家乳腺癌登记处的 5853 名女性，她们在 2000 年、2005 年或 2010 年进行了乳房切除术。其中，2904 名女性回答了调查，其中 895 名接受了乳房再造。使用两项调查测量满意度和生活质量：EORTC QLQ-BRECON23 和 BREAST-Q。结果 在接受调查的女性中，895 名（31%）接受了乳房再造。其中，176 例（20%）立即重建，719 例（80%）延迟重建； 58% 的人进行了基于种植体的重建，31% 的人使用自己的组织进行了重建，2% 的人两种类型都进行了重建，9% 的人没有报告重建的类型。立即重建和延迟重建的满意度没有显着差异。与使用假体的女性相比，使用自己组织的女性对自己的结果和乳房外观更满意。结论 自体重建比种植体具有更好的满意度和结果。重建的时间（立即与延迟）对生活质量的影响较小。