Davis G M, Ringler S L, Short K, Sherrick D, Bengtson B P
Adobe Plastic Surgery, Tucson, Ariz. 85712, USA.
Plast Reconstr Surg. 1995 Oct;96(5):1106-10.
This retrospective study was designed to determine if reduction mammaplasty relieved preoperative symptoms in patients with macromastia. Seven-hundred and eighty women who had reduction mammaplasties between 1981 and 1992 were surveyed. Responses to questions concerning the preoperative and postoperative symptoms, breast size, complications, and satisfaction were elicited. Completed surveys were returned by 406 patients (52 percent) who had bilateral operations. The mean age at surgery was 38 years, with an average follow-up of 4.7 years. Preoperative complaints of shoulder grooving (94 percent), shoulder pains (93 percent), and back pains (81 percent) were significantly reduced following surgery (McNemar test, p < 0.0001). Cup size decreased an average of two sizes in 72 percent. There were 215 women (53 percent) with postoperative complications, and although most were minor, 20 (5 percent) required surgical correction. Self-esteem improved in 358 (88 percent), and most would have surgery again (93 percent) and would encourage others to have the same (94 percent). Reduction mammaplasty decreases breast size and significantly relieves preoperative symptoms associated with mammary hypertrophy. Relief of symptoms was the most common reason women gave for having the operation, and 87 percent were satisfied with the results despite frequent minor postoperative complications.
这项回顾性研究旨在确定乳房缩小术是否能缓解巨乳症患者的术前症状。对1981年至1992年间接受乳房缩小术的780名女性进行了调查。收集了她们对有关术前和术后症状、乳房大小、并发症及满意度问题的回答。406名接受双侧手术的患者（52%）返还了完整的调查问卷。手术时的平均年龄为38岁，平均随访4.7年。术后，术前出现的肩部压痕（94%）、肩部疼痛（93%）和背部疼痛（81%）等症状显著减轻（McNemar检验，p<0.0001）。72%的患者罩杯尺寸平均减小了两个尺码。有215名女性（53%）出现术后并发症，尽管大多数为轻微并发症，但有20名（5%）需要手术矫正。358名（88%）患者的自尊得到改善，大多数患者（93%）愿意再次接受手术，并且会鼓励其他人也接受同样的手术（94%）。乳房缩小术可减小乳房大小，并显著缓解与乳腺肥大相关的术前症状。缓解症状是女性接受该手术最常见的原因，尽管术后频繁出现轻微并发症，但87%的患者对手术结果感到满意。
