Viard R, Bouguila J, Brun A, Voulliaume D, Comparin J-P, Foyatier J-L
Service de chirurgie plastique, hôpital Saint-Luc-Saint-Joseph, 20, quai Claude-Bernard, 69365 Lyon cedex 07, France.
Ann Chir Plast Esthet. 2012 Feb;57(1):41-9. doi: 10.1016/j.anplas.2010.10.005. Epub 2010 Nov 19.
Patients desiring breast reduction are often in overweight, and describe interferences with their daily life and minor psychological problems. We undertook this study to establish the pre- and postoperative weight pattern by age and histological breast type.
A retrospective review was performed on 100 consecutive patients who underwent bilateral reduction mammaplasty for macromastia (>300g per breast) in 2007. The patients were categorized by age in two groups: group 1 (G1) comprising the 50 younger patients (mean age: 35.5 years) and group 2 (G2) comprising the 50 older (mean age: 47.2 years). We obtained data points including: preoperative and postoperative weight pattern according to age and histological subtypes, calculation of body mass index (BMI), data from surgery including amount of resection, postoperative course and complications.
Patients consulting for breast reduction are moderately overweight (mean BMI: 28.22 confounded all ages). Preoperative weight loss is low despite systematic surgeon request (<0.5 % on average waiting time of 6.45 months). The postoperative weight loss is higher in young patients with glandular form of HTM (respectively -4.76 kg for glandulofibrous type and -3kg for fibrous, which corresponds to a loss of 6.5 and 4.1 % of their body weight). The impact of surgery on the patient's psychological condition is better in young patients.
This study demonstrated that postoperative weight loss after breast reduction are significant only in young patients with a constitutional type of macromastia (glandular or mixed forms). We believe that in addition to the functional improvement associated with surgery, these young patients lose weight they initially take to harmonize their silhouette.
希望进行乳房缩小术的患者通常超重，并表示日常生活受到影响且存在轻微心理问题。我们开展这项研究以确定不同年龄和组织学乳房类型的术前和术后体重模式。
对2007年连续100例行双侧巨乳缩小术（每侧乳房>300g）的患者进行回顾性研究。患者按年龄分为两组：第1组（G1）为50名较年轻患者（平均年龄：35.5岁），第2组（G2）为50名较年长患者（平均年龄：47.2岁）。我们获取了以下数据点：根据年龄和组织学亚型的术前和术后体重模式、体重指数（BMI）计算、手术数据包括切除量、术后病程及并发症。
咨询乳房缩小术的患者为中度超重（平均BMI：28.22，各年龄组情况混杂）。尽管外科医生有系统要求，但术前体重减轻较少（平均等待时间6.45个月，平均减轻<0.5%）。年轻的乳腺肥大腺体型患者术后体重减轻更多（腺纤维型分别减轻4.76kg，纤维型减轻3kg，分别相当于其体重减轻6.5%和4.1%）。手术对年轻患者心理状况的影响更好。
本研究表明，乳房缩小术后体重减轻仅在先天性巨乳症（腺体型或混合型）的年轻患者中显著。我们认为，除了手术带来的功能改善外，这些年轻患者还减轻了最初为协调身材而增加的体重。
