Miller A P, Zacher J B, Berggren R B, Falcone R E, Monk J
Plast Reconstr Surg. 1995 Jan;95(1):77-83. doi: 10.1097/00006534-199501000-00011.
The purpose of this paper is to assess symptomatic macromastia, the relief of symptoms by operation, and predictors of symptom relief. The methods used have been retrospective chart review and a self-assessment patient questionnaire. One-hundred and thirty-three patients underwent an average 1660-gm reduction. Ninety-three percent reported a postoperative decrease in symptoms such as shoulder grooves and shoulder, neck, and back pain. Correlation between breast size and sign or symptom severity achieved significance only for the preoperative submammary rash (r = 0.33, p < 0.001). Patients lost an average of 8.9 lb postoperatively and were less overweight (49 versus 40 percent). Activity level increased postoperatively in 63 percent. Postoperative chest size correlated inversely with activity level (r = 0.35, p < 0.001). Thirty-nine percent of patients who took pain medications preoperatively were able to eliminate these postoperatively. The quantity of tissue removed did not correlate with outcome. A model predictive of symptom relief could not be developed (total R2 = 0.03). Reduction mammaplasty promoted relief of signs and symptoms of macromastia, but a predictive model of successful operation could not be developed.
本文旨在评估症状性巨乳症、手术对症状的缓解情况以及症状缓解的预测因素。所采用的方法为回顾性病历审查和患者自我评估问卷。133例患者平均切除了1660克乳腺组织。93%的患者报告术后诸如肩沟以及肩、颈和背痛等症状有所减轻。仅术前乳房下皮疹的严重程度与乳房大小之间的相关性具有统计学意义（r = 0.33，p < 0.001）。患者术后平均体重减轻8.9磅，超重比例降低（从49%降至40%）。63%的患者术后活动水平提高。术后胸围与活动水平呈负相关（r = 0.35，p < 0.001）。术前服用止痛药的患者中，39%术后能够停用。切除组织的量与手术结果无关。无法建立预测症状缓解的模型（总R2 = 0.03）。缩乳术可缓解巨乳症的体征和症状，但无法建立成功手术的预测模型。
