Sabino Neto Miguel, Demattê Maria Fernanda, Freire Marcia, Garcia Elvio Bueno, Quaresma Marina, Ferreira Lydia M
Division of Plastic Surgery, Department of Surgery, and Division of Rheumatology (MQ), Federal University of São Paulo, São Paulo, Brazil.
Aesthet Surg J. 2008 Jul-Aug;28(4):417-20. doi: 10.1016/j.asj.2008.04.006.
Both physical health and psychosocial outcomes are important issues in the evaluation of medical treatment. Women with breast hypertrophy may suffer from low self-esteem and reduced functional capacity because of the size of their breasts.
The aim of this study was to evaluate the impact of reduction mammaplasty on self-esteem and functional capacity in patients with breast hypertrophy.
One hundred patients with breast hypertrophy who ranged in age from 18 to 55 years and who had undergone no previous mammary surgery were selected from the Plastic Surgery Outpatient Clinic of the Federal University of São Paulo (UNIFESP-EPM). They were randomly allocated into two groups (A and B) of 50 patients each. Patients from group A were submitted for reduction mammaplasty while those from group B were placed on the waiting list and used as a control group. At the beginning of the study, all patients were interviewed to collect clinical and demographic data and to have their self-esteem and functional capacity measured. Two Brazilian-validated versions of quality of life measurement instruments were chosen: the Rosenberg Self-Esteem Scale and Rolland-Morris (to assess functional capacity). A visual analog scale (VAS) was used to evaluate pain intensity. Six months after the beginning of the study, these instruments were again administered to both groups.
Forty-six out of 50 patients from each group (A and B) completed the study. The mean age of group A was 31.6 years (SD, 11 yrs), and that of group B was 32.3 years (SD, 10 yrs). The mean weight of removed breast tissue from group A patients was 1052 g (SD, 188 g). A decrease on the score of Rosenberg Self-Esteem Scale of patients from group A indicated an improvement of self-esteem (P < .001). Functional capacity had improved 6 months after reduction mammaplasty (group A) as compared to the control group. Intensity of pain evaluated by the VAS in the lower back region decreased from 5.7 to 1.3.
Reduction mammaplasty improved self-esteem and functional capacity and relieved pain in the lower back region in patients with breast hypertrophy.
身体健康和心理社会结果都是医疗评估中的重要问题。乳房肥大的女性可能会因其乳房大小而遭受自卑和功能能力下降的困扰。
本研究旨在评估乳房缩小成形术对乳房肥大患者自尊和功能能力的影响。
从圣保罗联邦大学（UNIFESP-EPM）整形外科门诊选取100例年龄在18至55岁之间且既往未接受过乳房手术的乳房肥大患者。她们被随机分为两组（A组和B组），每组50例。A组患者接受乳房缩小成形术，而B组患者被列入等待名单并作为对照组。在研究开始时，对所有患者进行访谈以收集临床和人口统计学数据，并测量她们的自尊和功能能力。选择了两个经过巴西验证的生活质量测量工具版本：罗森伯格自尊量表和罗兰-莫里斯量表（用于评估功能能力）。使用视觉模拟量表（VAS）评估疼痛强度。研究开始六个月后，对两组患者再次使用这些工具。
每组（A组和B组）的50例患者中有46例完成了研究。A组的平均年龄为31.6岁（标准差，11岁），B组的平均年龄为32.3岁（标准差，10岁）。A组患者切除的乳房组织平均重量为1052克（标准差，188克）。A组患者罗森伯格自尊量表得分下降表明自尊得到改善（P <.001）。与对照组相比，乳房缩小成形术后6个月（A组）功能能力有所改善。VAS评估的下背部疼痛强度从5.7降至1.3。
乳房缩小成形术改善了乳房肥大患者的自尊和功能能力，并减轻了下背部疼痛。
