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2
The prevalence and risk factors of chronic low back pain among adults in KwaZulu-Natal, South Africa: an observational cross-sectional hospital-based study.南非夸祖鲁-纳塔尔省成年人慢性下腰痛的患病率和危险因素:一项基于医院的观察性横断面研究。
BMC Musculoskelet Disord. 2021 Nov 15;22(1):955. doi: 10.1186/s12891-021-04790-9.
3
Macromastia as a Cause of Chronic Back Pain.巨乳症作为慢性背痛的一个原因。
J Womens Health (Larchmt). 2021 Oct;30(10):1372-1374. doi: 10.1089/jwh.2021.0405. Epub 2021 Sep 8.
4
Analysis of adolescent patient satisfaction and well-being following reduction mammaplasty using the BREAST-Q survey.采用 BREAST-Q 调查分析乳房缩小整形术后青少年患者的满意度和幸福感。
J Pediatr Surg. 2022 Mar;57(3):538-543. doi: 10.1016/j.jpedsurg.2021.06.008. Epub 2021 Jul 6.
5
Breast Reduction: Surgical Techniques with an Emphasis on Evidence-Based Practice and Outcomes.乳房缩小术:基于循证实践和结果的手术技术。
Plast Reconstr Surg. 2020 Sep;146(3):339e-350e. doi: 10.1097/PRS.0000000000007263.
6
Patient Characteristics Associated with Free Nipple Graft Reduction Mammoplasty.与游离乳头移植缩乳术相关的患者特征
Cureus. 2020 Jul 8;12(7):e9063. doi: 10.7759/cureus.9063.
7
Reliability and versatility of the Wise pattern, medial pedicle for breast reduction in South Africa.南非用于乳房缩小术的Wise模式内侧蒂的可靠性和通用性。
Surg Open Sci. 2020 Jan 11;2(2):85-91. doi: 10.1016/j.sopen.2019.10.002. eCollection 2020 Apr.
8
Does breast reduction surgery improve health-related quality of life? A prospective cohort study in Australian women.乳房缩小手术是否能提高健康相关生活质量?澳大利亚女性的前瞻性队列研究。
BMJ Open. 2020 Feb 17;10(2):e031804. doi: 10.1136/bmjopen-2019-031804.
9
Does breast size affect how women participate in physical activity?乳房大小会影响女性参与体育活动的方式吗?
J Sci Med Sport. 2019 Mar;22(3):324-329. doi: 10.1016/j.jsams.2018.09.226. Epub 2018 Sep 15.
10
Outcomes analysis of breast reduction in Brazilian women using the BREAST-Q® questionnaire: a cross-sectional controlled study.使用BREAST-Q®问卷对巴西女性乳房缩小术的结果分析:一项横断面对照研究。
Clinics (Sao Paulo). 2018;73:e313. doi: 10.6061/clinics/2018/e313. Epub 2018 Jun 18.

南非人群中乳房缩小手术前后患者的生活质量:一项基于单中心患者的研究。

Quality of Life in Patients Pre- and Post-Breast Reduction Surgery in a South African Population: A Single-Centred Patient-Based Study.

作者信息

Khwela Nokubonga, Madaree Anil, Mohan Nivana, Lazarus Lelika

机构信息

Department of Clinical Anatomy, School of Laboratory Medicine and Medical Sciences, University of KwaZulu-Natal, Durban, South Africa.

Department of Plastic and Reconstructive Surgery, Inkosi Albert Luthuli Central Hospital, Durban, South Africa.

出版信息

Breast Care (Basel). 2025 Mar 21:1-11. doi: 10.1159/000543306.

DOI:10.1159/000543306
PMID:40331127
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12052368/
Abstract

INTRODUCTION

Breast hypertrophy is the abnormal enlargement of breast tissue resulting in extremely large breasts and is a regular condition among women worldwide. It can affect different aspects of their life, including their psycho-social, sexual, emotional, and physical well-being. This study aimed to assess the quality of life in individuals with breast hypertrophy both before and after undergoing breast reduction surgery.

METHODS

Two sets of questionnaires (preoperative and post-operative) were formulated and distributed to 18 patients (median age of 31, age range: 18-48 years) undergoing breast reduction surgery. Patients were also provided with an informed consent form.

RESULTS

Preoperatively, most patients expressed different levels of dissatisfaction with themselves across all categories. However, post-operatively, significant levels ( < 0.05, < 0.001) of satisfaction were demonstrated by patients, as 100% of them reported a reduction in back pain and heaviness of breasts, and 100% reported improvement in their self-confidence. Also, 94% and 65% reported improvement in their social interaction and sexual life, respectively, while 83% and 61% of patients reported satisfaction in carrying their grocery shopping bags and their engagement in regular exercise programs, respectively.

CONCLUSION

The study illustrates that breast reduction surgery had a positive effect on the quality of life of patients as a significant proportion of them reported improvement and satisfaction across all categories following the procedure.

摘要

引言

乳房肥大是指乳房组织异常增大,导致乳房极大,这在全球女性中是一种常见情况。它会影响她们生活的不同方面,包括心理社会、性、情感和身体健康。本研究旨在评估乳房肥大患者在接受缩乳手术前后的生活质量。

方法

制定了两套问卷(术前和术后),并分发给18名接受缩乳手术的患者(中位年龄31岁,年龄范围:18 - 48岁)。还向患者提供了知情同意书。

结果

术前,大多数患者在所有类别中都对自己表达了不同程度的不满。然而,术后患者表现出显著水平(<0.05,<0.001)的满意度,因为100%的患者报告背部疼痛和乳房沉重感减轻,100%的患者报告自信心增强。此外,分别有94%和65%的患者报告社交互动和性生活有所改善,而分别有83%和61%的患者报告在提购物袋和参加常规锻炼项目方面感到满意。

结论

该研究表明,缩乳手术对患者的生活质量有积极影响,因为很大一部分患者在手术后报告在所有类别中都有改善和满意度。