Findikcioglu Kemal, Findikcioglu Fulya, Ozmen Selahattin, Guclu Tuba
Department of Plastic, Reconstructive, and Aesthetic Surgery and Hand Surgery, Gazi University Faculty of Medicine, 14th Floor, Besevler, 06500, Ankara, Turkey.
Aesthetic Plast Surg. 2007 Jan-Feb;31(1):23-7. doi: 10.1007/s00266-006-0178-5.
Macromastia usually is associated with the physical and psychological symptoms reported comprehensively by many studies. Reduction mammoplasty seems to be the most reasonable solution for these symptoms, and many articles have reported improvement of these complaints after surgery. Some authors have postulated that the anatomic mechanisms of postural aberrations are heavy breasts and related pain symptoms. However, limited numbers of studies have tried to explain the effect of the heavy breasts on the vertebral column.
This study enrolled 100 females in four groups according to their breast cup sizes (groups A, B, C, D). All four groups were compared with each other statistically using one-way analysis of variance (ANOVA) followed by a post hoc test according to the body mass index (BMI) as well as the thoracic kyphosis, lumbar lordosis, and sacral inclination angles.
The BMI was significantly higher in the D cup-sized breast group. There was a statistically significant difference between groups A and D in terms of the thoracic kyphosis and the lumbar lordosis angles, and between groups B and D in terms of the lumbar lordosis angle. No statistically significant difference was detected between the groups in terms of the sacral inclination angle.
Breast size seems to be an important factor that affects posture, especially the thoracic kyphosis and lumbar lordosis angles.
巨乳症通常与许多研究全面报道的身体和心理症状相关。乳房缩小成形术似乎是解决这些症状的最合理方法，许多文章报道了手术后这些症状有所改善。一些作者推测姿势异常的解剖学机制是乳房过大及相关疼痛症状。然而，仅有少数研究试图解释过大乳房对脊柱的影响。
本研究根据罩杯大小将100名女性分为四组（A组、B组、C组、D组）。采用单因素方差分析对所有四组进行统计学比较，然后根据体重指数（BMI）以及胸椎后凸角、腰椎前凸角和骶骨倾斜角进行事后检验。
D罩杯乳房组的BMI显著更高。A组和D组在胸椎后凸角和腰椎前凸角方面存在统计学显著差异，B组和D组在腰椎前凸角方面存在统计学显著差异。各组在骶骨倾斜角方面未检测到统计学显著差异。
乳房大小似乎是影响姿势的一个重要因素，尤其是胸椎后凸角和腰椎前凸角。
