Temel Metin, Türkmen Arif, Berberoğlu Ömer
Dr Temel is a Clinical Assistant Professor, Division of Plastic Surgery, Mustafa Kemal University, Hatay, Turkey. Dr Türkmen is a Clinical Associate Professor, Division of Plastic Surgery, İstanbul University, İstanbul, Turkey. Dr Berberoğlu is a Plastic Surgeon in private practice in Gaziantep, Turkey.
Aesthet Surg J. 2016 May;36(5):577-87. doi: 10.1093/asj/sjv257. Epub 2016 Jan 12.
Substantial fluctuations in body weight can result in diastasis recti and weakening of the connections between the lateral abdominal muscles and the rectus sheath.
The authors sought to determine the postural and psychological effects of abdominoplasty with vertical rectus plication.
Forty women with substantial back and lumbar pain owing to abdominal lipodystrophy were evaluated in a prospective study. Preoperatively and 6 months postoperatively, patients underwent bidirectional radiography of the thoracic and lumbar regions. A visual analog scale (VAS), the Beck Depression Inventory (BDI), and the Nottingham Health Profile (NHP) were applied to assess physical, psychological, and quality-of-life changes following surgery.
Significant improvements in posture, assessed in terms of lumbar lordosis, thoracic kyphosis, and the lumbosacral angle, were observed 6 months after abdominoplasty with rectus plication. Results of the VAS and BDI indicated significant improvements in pain and quality of life, respectively. Results of the NHP indicated significant postoperative improvements in fatigue, pain, and sleep.
Abdominoplasty with rectus plication improves posture by tightening the thoracolumbar fascia. In selected patients, abdominoplasty can reduce back and lumbar pain, thereby improving quality of life.
体重的大幅波动可导致腹直肌分离以及腹外侧肌肉与腹直肌鞘之间连接的减弱。
作者试图确定垂直腹直肌折叠腹壁成形术对姿势和心理的影响。
在一项前瞻性研究中对40名因腹部脂肪代谢障碍而患有严重背部和腰部疼痛的女性进行了评估。术前和术后6个月，患者接受了胸腰椎区域的双向X线摄影。应用视觉模拟量表（VAS）、贝克抑郁量表（BDI）和诺丁汉健康量表（NHP）来评估手术前后身体、心理和生活质量的变化。
在进行腹直肌折叠腹壁成形术后6个月，观察到在腰椎前凸、胸椎后凸和腰骶角方面评估的姿势有显著改善。VAS和BDI的结果分别表明疼痛和生活质量有显著改善。NHP的结果表明术后在疲劳、疼痛和睡眠方面有显著改善。
腹直肌折叠腹壁成形术通过收紧胸腰筋膜改善姿势。在选定的患者中，腹壁成形术可以减轻背部和腰部疼痛，从而提高生活质量。
