Strittmatter H J, Blecken S R, Neises M
Alfried Krupp Krankenhaus, Essen.
Zentralbl Gynakol. 2004 Dec;126(6):359-64. doi: 10.1055/s-2004-832368.
Within this study the improvement of life quality in patients after surgery for breast reduction should be evaluated.
In total 70 patients, who had undergone an operation for breast reduction in the University Women's Hospital of Heidelberg from May 1998-June 2000, were chosen for this study. They were invited to an interview with three different standardized questionnaires concerning life quality. In total the questionnaires of 37 patients could be evaluated. They were about 12 months after operation.
It could be shown, that all patients had a significant improvement of their functional symptoms, the main part of them were totally free of symptoms after the operation. Most patients felt more female than before. They regarded themselves as more active, productive and sociable. This resulted in an improved self-confidence. In both groups the improvement was based mostly on a release of their functional complaints such as pain in th back or in the shoulders, but also on the psychological relief of the physical shame. The reduction of the breast masses, which were before well hidden by clothes, led to an improved self-confidence and self-assurance.
Either women, who underwent the operation due to medical reasons, as well as women, who had mainly esthetic reasons for the operation, reach an improvement of life quality after surgery. The reached satisfaction of the patients and the improvement of life quality were absolutely independent from the weight of the resected tissue.
本研究旨在评估巨乳缩小术后患者的生活质量改善情况。
选取1998年5月至2000年6月在海德堡大学妇女医院接受巨乳缩小手术的70例患者进行本研究。邀请他们接受关于生活质量的三种不同标准化问卷的访谈。总共可评估37例患者的问卷。访谈时间为术后约12个月。
结果显示，所有患者的功能症状均有显著改善，其中大部分患者术后完全无症状。大多数患者感觉比以前更具女性特质。他们认为自己更活跃、更有成效且更善于社交。这导致自信心增强。两组患者的改善主要基于其功能主诉的缓解，如背部或肩部疼痛，也基于身体羞耻感的心理缓解。乳房肿块缩小后，之前被衣服很好地遮盖住，这导致自信心和自我肯定感增强。
因医学原因接受手术的女性以及主要出于美学原因接受手术的女性，术后生活质量均得到改善。患者达到的满意度和生活质量的改善与切除组织的重量完全无关。
