Bertheuil Nicolas, Thienot Sophie, Chaput Benoit, Varin Audrey, Watier Eric
Rennes and Toulouse, France From the Department of Plastic, Reconstructive, and Aesthetic Surgery, Hospital Sud, University of Rennes1; SITI Laboratory, INSERM U917, University of Rennes 1; STROMALab and the Etablissement Français du Sang Midi-Pyrénées; the Department of Plastic, Reconstructive and Aesthetic Surgery, Rangueil Hospital, Université Paul Sabatier.
Plast Reconstr Surg. 2015 Jan;135(1):67e-73e. doi: 10.1097/PRS.0000000000000771.
The improvement of medial thighplasty techniques has greatly reduced the morbidity of these interventions and participated in their democratization among surgeons and patients. The aim of this study was to evaluate the beneficial effect of medial thighplasty on quality of life in patients following massive weight loss.
The quality of life following massive weight loss after diet or bariatric surgery of 21 patients was measured using the Moorehead-Ardelt Quality of Life Questionnaire. Patients who underwent medial thighplasty following a percentage of weight loss greater than 20 percent of the body weight were included.
The mean age of the patients was 49.9 ± 8.7 years. The average pre-medial thighplasty body mass index was 28.4 ± 4.8 kg/m and the average weight loss before surgery was 46 ± 17.1 kg. In our study, medial thighplasty improved the quality of life of patients (mean quality-of-life scores, 1.49 ± 1.3; e.g., self-esteem, physical status, social life, and improved labor conditions of patients). However, the quality of the sex life of the patient was not improved by this operation. No difference was found in quality-of-life results between patients according to the number of months since they had undergone surgery (p = 0.7252).
Medial thighplasty improves the aesthetic and functional outcome of the thigh. The authors report, for the first time, that medial thighplasty improves quality of life of patients with massive weight loss. With the worldwide development of obesity, this study demonstrated that the operation should be widely proposed to patients with massive weight loss to improve quality of life.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, V.
大腿内侧整形技术的改进极大地降低了这些手术的发病率，并促使其在外科医生和患者中得到更广泛应用。本研究的目的是评估大腿内侧整形术对大量减重患者生活质量的有益影响。
使用穆尔黑德 - 阿德尔特生活质量问卷对21例通过节食或减肥手术后大量减重患者的生活质量进行测量。纳入体重减轻超过体重20%后接受大腿内侧整形术的患者。
患者的平均年龄为49.9±8.7岁。大腿内侧整形术前的平均体重指数为28.4±4.8kg/m，手术前的平均体重减轻为46±17.1kg。在我们的研究中，大腿内侧整形术改善了患者的生活质量（平均生活质量评分，1.49±1.3；例如，患者的自尊、身体状况、社交生活和劳动条件得到改善）。然而，该手术并未改善患者的性生活质量。根据患者术后月数，在生活质量结果方面未发现差异（p = 0.7252）。
大腿内侧整形术改善了大腿的美学和功能效果。作者首次报告，大腿内侧整形术改善了大量减重患者的生活质量。随着全球肥胖问题的发展，本研究表明该手术应广泛推荐给大量减重患者以改善生活质量。
临床问题/证据水平：治疗性，V级
