Atterhem H, Holmner S, Janson P E
Department of Plastic Surgery, Umeå University Hospital, Sweden.
Scand J Plast Reconstr Surg Hand Surg. 1998 Sep;32(3):281-6. doi: 10.1080/02844319850158615.
During a three year period, 242 women ranging from 16-68 years with hypertrophic breasts underwent reduction mammaplasty by Skoog's, Strömbeck's, Regnault's, or the nipple-areola transplantation technique. After a follow-up period of three years the results were evaluated by requesting the patients to complete a questionnaire and also by abstracting information from the records. The most common preoperative symptoms were pain in the head, neck, and shoulder-region, sufficient to cause a working disability in approximately half of the patients. Psychological distress regarding appearance was more common among the younger women. The mean weight of the removed tissue was 1184 g (SD 583), which correlated positively with both increasing age and body mass index (BMI). The overall complication rate was 10%, which also correlated positively with BMI. The postoperative evaluation indicated that 86%-96% of patients experienced relief of symptoms postoperatively and 92% of the total number of patients were satisfied with the operation. Approximately three quarters of the women who had a working disability prior to the operation were able to return to their former occupations postoperatively.
在三年期间，242名年龄在16至68岁之间的乳房肥大女性接受了采用斯库格法、斯特伦贝克法、雷诺法或乳头乳晕移植技术的乳房缩小整形术。经过三年的随访期，通过要求患者填写问卷并从病历中提取信息来评估结果。最常见的术前症状是头部、颈部和肩部疼痛，约一半患者因此导致工作残疾。年轻女性中，对外表的心理困扰更为常见。切除组织的平均重量为1184克（标准差583），这与年龄增长和体重指数（BMI）均呈正相关。总体并发症发生率为10%，这也与BMI呈正相关。术后评估表明，86% - 96%的患者术后症状得到缓解，92%的患者对手术满意。术前有工作残疾的女性中，约四分之三术后能够重返原工作岗位。
