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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.

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。

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