Albanese Roberta, Tomaselli Federica, Mellucci Claudia, Scarabosio Anna, Parodi Pier Camillo, Tambasco Damiano
Plastic Surgery Unit, San Carlo di Nancy Hospital, Via Aurelia 275, Rome, Italy.
Clinic of Plastic and Reconstructive Surgery, Department of Medical Area (DAME), Academic Hospital of Udine, University of Udine, Piazzale Santa Maria della Misericordia 15, 33100, Udine, Italy.
Aesthetic Plast Surg. 2025 Aug 13. doi: 10.1007/s00266-025-05156-5.
Low back pain (LBP) significantly impairs quality of life and is frequently associated with diastasis recti abdominis (DRA), particularly in postpartum women. This study aims to evaluate the impact of lipoabdominoplasty with rectus muscle plication on LBP, core function, and health-related quality of life (HRQL) in women with DRA.
We prospectively enrolled female patients who underwent lipoabdominoplasty with rectus muscle plication in 2023 for DRA correction (2-10 cm). Exclusion criteria included BMI ≥ 35 kg/m, hernias, prior abdominal wall surgery, major comorbidities, and unrealistic expectations. Pain and function were assessed preoperatively (T0) and postoperatively at 6 months (T1) and 12 months (T2) using the Numerical Rating Scale (NRS) for LBP and BODY-Q Physical Function and Symptoms domains. Complication rates were recorded.
A total of 42 patients met inclusion criteria. Mean NRS scores decreased from 5.6 ± 1.2 at T0 to 2.9 ± 1.1 at T1 and 2.3 ± 1.0 at T2 (p < 0.001). BODY-Q Physical Function scores improved from 56.2 ± 8.4 at T0 to 75.5 ± 7.9 at T2 (p < 0.001). Physical Symptoms domain scores increased from 58.6 ± 9.1 to 78.3 ± 8.5 (p < 0.001). Minor complications occurred in 5 patients (11.9%), with no major adverse events.
Lipoabdominoplasty with rectus plication significantly reduced LBP and improved core function and HRQL in women with DRA. These findings support its functional benefits beyond aesthetics.
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腰痛（LBP）严重影响生活质量，并且经常与腹直肌分离（DRA）相关，尤其是在产后女性中。本研究旨在评估腹直肌折叠抽脂腹壁成形术对患有DRA的女性的腰痛、核心功能和健康相关生活质量（HRQL）的影响。
我们前瞻性纳入了2023年接受腹直肌折叠抽脂腹壁成形术以矫正DRA（2-10厘米）的女性患者。排除标准包括BMI≥35kg/m、疝气、既往腹壁手术史、主要合并症以及不切实际的期望。使用腰痛数字评定量表（NRS）以及BODY-Q身体功能和症状领域，在术前（T0）、术后6个月（T1）和12个月（T2）评估疼痛和功能。记录并发症发生率。
共有42名患者符合纳入标准。平均NRS评分从T0时的5.6±1.2降至T1时的2.9±1.1以及T2时的2.3±1.0（p<0.001）。BODY-Q身体功能评分从T0时的56.2±8.4提高到T2时的75.5±7.9（p<0.001）。身体症状领域评分从58.6±9.1增加到78.3±8.5（p<0.001）。5名患者（11.9%）发生轻微并发症，无重大不良事件。
腹直肌折叠抽脂腹壁成形术显著降低了患有DRA的女性的腰痛，并改善了核心功能和HRQL。这些发现支持了其除美学之外的功能益处。
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