Dabbah A, Lehman J A, Parker M G, Tantri D, Wagner D S
Northeastern Ohio Universities College of Medicine, Akron, USA.
Ann Plast Surg. 1995 Oct;35(4):337-41. doi: 10.1097/00000637-199510000-00001.
Reduction mammaplasty is usually performed to relieve painful symptoms and physical signs of macromastia. Justification for reduction mammaplasty should be based on the probability of relieving these clinical signs and symptoms. This retrospective study involved four surgeons who performed a variety of breast reduction procedures and was designed to determine if preoperative symptoms were resolved after reduction mammaplasty. We surveyed 285 women who had reduction mammaplasties from 1988 to 1993. Data from these surveys and the patients' charts were reviewed. A total of 185 patients (65%) returned completed surveys and were included in this study for analysis. Mean age was 40 years with an average follow-up of 3 years. The most common preoperative complaint was shoulder grooving (90%), followed by back pain (82%), shoulder pain (78%), and neck pain (65%). Average amount of breast tissue removed was 855 gm from each breast. Preoperative complaints were substantially reduced after surgery, regardless of the presurgical body mass. Most patients (97%) had improvement of symptoms, and 59% were asymptomatic. Only 3% had no change in their symptoms and none were worse. The complication rate was 45% with fat necrosis/infection being the most common complication (22%). The majority of patients (95%) were either happy or very happy with the surgery, and 98% would recommend surgery to a friend. Our data indicate that reduction mammaplasty relieves preoperative symptoms associated with macromastia.
缩乳术通常用于缓解巨乳症的疼痛症状和体征。缩乳术的合理性应基于缓解这些临床症状和体征的可能性。这项回顾性研究涉及四位实施了多种缩乳手术的外科医生，旨在确定缩乳术后术前症状是否得到缓解。我们调查了1988年至1993年间接受缩乳术的285名女性。对这些调查数据和患者病历进行了审查。共有185名患者（65%）返回了完整的调查问卷，并被纳入本研究进行分析。平均年龄为40岁，平均随访3年。最常见的术前主诉是肩部压痕（90%），其次是背痛（82%）、肩痛（78%）和颈部疼痛（65%）。每个乳房平均切除的乳腺组织量为855克。无论术前体重如何，术后术前主诉均大幅减少。大多数患者（97%）症状有所改善，59%无症状。只有3%的患者症状没有变化，无一例症状加重。并发症发生率为45%，脂肪坏死/感染是最常见的并发症（22%）。大多数患者（95%）对手术感到满意或非常满意，98%会向朋友推荐手术。我们的数据表明，缩乳术可缓解与巨乳症相关的术前症状。
