Singh Kimberly A, Pinell Ximena A, Losken Albert
Division of Plastic and Reconstructive Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, GA 30308, USA.
Ann Plast Surg. 2010 May;64(5):585-7. doi: 10.1097/SAP.0b013e3181c5a841.
Reducing breast size for women with macromastia does more than provide symptomatic relief. The purpose of this study was to evaluate whether reduction mammaplasty was felt to be a stimulus for postoperative weight loss, subjective glucose control, and improved self-confidence. All patients who underwent reduction mammaplasty at Emory University Hospital by the senior author were reviewed. Patient demographics were queried, and a standardized questionnaire was devised to obtain information regarding postoperative weight, dress size, glucose control, and exercise. Forty-one women participated in the questionnaire. Mean follow-up was 2 years (range, 1-6). Patients were stratified according to whether they felt reduction mammaplasty was a stimulus for future weight loss; 63% stated yes (group A), 37% responded no (group B). Group A had significant postoperative weight loss (P < 0.001) and decreased dress size (P < 0.001). Group B had no change in weight (P = 0.239) or dress size (P = 0.735). There was 100% improvement of patient reported postoperative glucose control in group A and 50% improvement in group B. Sexual activity was improved in 85% of women in group A, and only 40% in group B. Group A patients had significantly increased postoperative exercise (P < 0.001); group B had no change. Reduction mammaplasty in motivated patients may be a stimulus for postoperative weight loss, and those patients were more physically active, had better glucose control and had an improved self-confidence.
对于巨乳症女性而言，缩小乳房尺寸所带来的益处不止于缓解症状。本研究旨在评估缩乳术是否被认为能刺激术后体重减轻、主观血糖控制改善以及自信心增强。回顾了由资深作者在埃默里大学医院进行缩乳术的所有患者。查询了患者人口统计学资料，并设计了一份标准化问卷以获取有关术后体重、服装尺码、血糖控制和运动的信息。41名女性参与了问卷调查。平均随访时间为2年（范围1 - 6年）。根据患者是否认为缩乳术是未来体重减轻的刺激因素进行分层；63%表示是（A组），37%回答否（B组）。A组术后体重显著减轻（P < 0.001）且服装尺码减小（P < 0.001）。B组体重（P = 0.239）和服装尺码（P = 0.735）均无变化。A组患者报告术后血糖控制改善率为100%，B组为50%。A组85%的女性性功能改善，B组仅为40%。A组患者术后运动显著增加（P < 0.001）；B组无变化。对于有积极性的患者，缩乳术可能是术后体重减轻的刺激因素，且这些患者身体活动更多、血糖控制更好且自信心增强。
