Fouquet B, Goupille P, Rouif M, Rouif V, Mateu J, Valat J P
Service de Rééducation Fonctionnelle, CHR Trousseau, Tours.
Rev Rhum Mal Osteoartic. 1991 Jun;58(6):453-7.
In a prospective study, the influence of a mammary hypertrophy on some clinical and radiological parameters of the lumbar and dorsal spine had been studied in 14 women comparatively to 14 control women, before and after a reduction surgery. Clinically, the frequency of the lumbar pain was identical in the two groups of patients before surgical treatment but a significant decrease of the frequency and the intensity of the lumbar pain was found after the surgery in the mammary hypertrophic group (p less than 0.01). Some radiological parameters of lordosis and the dorsal kyphosis were significantly higher in mammary hypertrophic patients than in control patients. After surgery, an increase of parameters of lordosis was observed associated with a significant decrease of the dorsal kyphosis (p less than 0.05). Nevertheless, by use of a radiological classification of the lumbar lordosis with the Ferguson's indice, two main groups of lordosis had been distinguished. The intensity of the lumbar pain and the dorsal kyphosis were significantly higher in patients with a low indice than in those with an high indice. More, the dorsal kyphosis has decreased only in patients with a low anterior lumbar indice. In conclusion, a mammary hypertrophy must be searched in women with a lumbar pain and an surgical treatment may be proposed.
在一项前瞻性研究中，对14名患有乳腺肥大的女性与14名对照女性在进行缩乳手术前后，研究了乳腺肥大对腰椎和胸椎的一些临床及放射学参数的影响。临床上，两组患者在手术治疗前腰痛的发生率相同，但乳腺肥大组在手术后腰痛的发生率和强度均显著降低（p<0.01）。乳腺肥大患者的一些脊柱前凸和胸椎后凸的放射学参数显著高于对照患者。手术后，观察到脊柱前凸参数增加，同时胸椎后凸显著降低（p<0.05）。然而，通过使用基于弗格森指数的腰椎前凸放射学分类，区分出了两组主要的腰椎前凸类型。指数较低的患者腰痛强度和胸椎后凸显著高于指数较高的患者。此外，只有腰椎前凸指数较低的患者胸椎后凸有所降低。总之，对于有腰痛的女性必须排查是否存在乳腺肥大，并且可以考虑进行手术治疗。
