Bai Jennifer, Rosen Carly M, Ngaage Ledibabari M, McNichols Colton H L, Diaconu Silviu C, Ihenatu Chinezimuzo, Elegbede Adekunle, Bellavance Emily C, Slezak Sheri S, Rasko Yvonne M
University of Maryland Medical Center, Baltimore.
The Johns Hopkins Hospital, Baltimore, Md.
Eplasty. 2019 Jul 23;19:e18. eCollection 2019.
Reduction mammoplasty has been shown to provide wide-ranging benefits for patients including improved quality of life in terms of physical function and mental health. However, most existing studies have been limited to the 1-year postoperative period. The aim of this study was to investigate long-term outcomes after reduction mammoplasty. Patients who underwent reduction mammoplasty at a single institution were identified retrospectively and grouped into 3 categories based on time since surgery: (i) 5 to 10 years, (ii) 10 to 15 years, and (iii) more than 15 years. A telephone survey was administered to measure satisfaction and symptom relief following reduction mammoplasty. A total of 124 patients completed the survey and were included in the study. The majority of patients in all 3 groups reported marked symptoms relief (75% vs 82% vs 82%, = .84). Overall satisfaction after reduction mammoplasty was high in all 3 subgroups and did not significantly decrease over time (4.16 vs 3.97 vs 3.7, = .216) despite high proportions of patients reporting an increase in breast size since surgery (40% vs 70% vs 51%, = .0297). Overall, reduction mammoplasty has long-lasting benefits for patients with macromastia. Overwhelmingly, patients report satisfaction with the procedure and marked symptom relief that is sustained for as long as 15 years after surgery.
缩乳术已被证明能为患者带来广泛益处,包括在身体功能和心理健康方面提高生活质量。然而,大多数现有研究仅限于术后1年。本研究的目的是调查缩乳术后的长期效果。对在单一机构接受缩乳术的患者进行回顾性识别,并根据手术时间分为3类:(i)5至10年,(ii)10至15年,(iii)超过15年。通过电话调查来衡量缩乳术后的满意度和症状缓解情况。共有124名患者完成调查并纳入研究。所有3组中的大多数患者都报告症状明显缓解(75%对82%对82%,P = 0.84)。尽管有高比例患者报告自手术以来乳房尺寸增大(40%对70%对51%,P = 0.0297),但缩乳术后所有3个亚组的总体满意度都很高,且未随时间显著下降(4.16对3.97对3.7,P = 0.216)。总体而言,缩乳术对巨乳症患者有持久益处。绝大多数患者对该手术表示满意,且症状明显缓解,这种情况在术后长达15年都能持续。