接受缩乳术的乳房肥大患者的性功能与抑郁结局：一项随机对照试验

Sexual Function and Depression Outcomes Among Breast Hypertrophy Patients Undergoing Reduction Mammaplasty: A Randomized Controlled Trial.

作者信息

Beraldo Flávia N M, Veiga Daniela F, Veiga-Filho Joel, Garcia Edgard S, Vilas-Bôas Gerusa S, Juliano Yara, Sabino-Neto Miguel, Ferreira Lydia M

机构信息

From the *Translational Surgery Graduate Program, Universidade Federal de São Paulo, São Paulo; and †Division of Plastic Surgery, Department of Surgery, ‡School of Medicine, and §Department of Biostatistics, Universidade do Vale do Sapucaí, Pouso Alegre, Brazil.

出版信息

Ann Plast Surg. 2016 Apr;76(4):379-82. doi: 10.1097/SAP.0000000000000380.

DOI:10.1097/SAP.0000000000000380

PMID:25536204

Abstract

PURPOSE

The breasts are important symbols of femininity and sensuality. Alterations such as breast hypertrophy can affect several aspects of women's quality of life. Breast hypertrophy is a prevalent health condition, which is treated by reduction mammaplasty. The aim of the present study was to assess sexual function and depression outcomes among breast hypertrophy patients undergoing reduction mammaplasty.

METHODS

Sixty breast hypertrophy patients were randomly allocated to a control group (CG) (n = 30) or a breast reduction group (BRG) (n = 30). The patients in the CG were assessed at the first appointment as well as 3 and 6 months later. The patients in the BRG were assessed preoperatively as well as 3 and 6 months postoperatively. Validated instruments, the Female Sexual Function Index and the Beck Depression Inventory, were used to assess sexual function and depression among the subjects. The results of these assessments were compared within and between groups.

RESULTS

Twenty-seven and 29 patients in the CG and the BRG, respectively, completed the 6-month follow-up period. At baseline, the groups did not differ significantly with regard to the main demographic data. In the initial assessment, the groups did not differ significantly with regard to Female Sexual Function Index or Beck Depression Inventory scores. Compared with the CG, the BRG reported better sexual function 3 (P = 0.015) and 6 (P = 0.009) months postoperatively. Regarding depression scores, the reduction mammaplasty group had better results 6 months postoperatively (P = 0.014).

CONCLUSIONS

Reduction mammaplasty positively affected sexual function and depression levels in breast hypertrophy patients.

摘要

目的

乳房是女性气质和性感的重要象征。诸如乳房肥大等改变会影响女性生活质量的多个方面。乳房肥大是一种常见的健康状况，可通过乳房缩小整形术进行治疗。本研究的目的是评估接受乳房缩小整形术的乳房肥大患者的性功能和抑郁结局。

方法

60例乳房肥大患者被随机分为对照组（CG）（n = 30）或乳房缩小组（BRG）（n = 30）。CG组患者在首次就诊时以及3个月和6个月后进行评估。BRG组患者在术前以及术后3个月和6个月进行评估。使用经过验证的工具，即女性性功能指数和贝克抑郁量表，来评估受试者的性功能和抑郁情况。对这些评估结果在组内和组间进行比较。

结果

CG组和BRG组分别有27例和29例患者完成了6个月的随访期。在基线时，两组在主要人口统计学数据方面无显著差异。在初始评估中，两组在女性性功能指数或贝克抑郁量表评分方面无显著差异。与CG组相比，BRG组在术后3个月（P = 0.015）和6个月（P = 0.009）时报告了更好的性功能。关于抑郁评分，乳房缩小整形术组在术后6个月有更好的结果（P = 0.014）。