Makki A S, Ghanem A A
Department of Plastic Surgery, Hamad Medical Corporation, Doha, Qatar.
Ann Plast Surg. 1998 Oct;41(4):370-7. doi: 10.1097/00000637-199810000-00004.
Few publications in the past have addressed specifically the effects of reduction mammaplasty in reducing symptoms associated with macromastia, and even fewer have surveyed patient satisfaction after reduction mammaplasty. This study investigates long-term results, morbidity, and patient satisfaction after reduction mammaplasty. A comprehensive questionnaire was sent to 296 patients who underwent reduction mammaplasty at Hamad Medical Corporation during the study period between January 1987 and December 1996. The response rate to the questionnaire was 55.4% on a single mailing. The charts of responding patients (164 patients) were reviewed retrospectively. The mean patient age at the time of surgery was 29.7 years, and the mean preoperative weight was 75.9 kg. Seventy-eight percent of respondents listed the relief of physical symptoms of large breasts as their primary motivation for surgery. An average of 1,037 g of tissue was resected per breast. Ninety-one percent of subjects realized improvement of symptoms and 65% were asymptomatic. The overall satisfaction rate was 67.6%, whereas 18.4% were dissatisfied and 14% were unsure. Minor complications that did not require further surgery were reported by 29% of subjects. Twenty-seven percent of respondents would have preferred to have more preoperative discussions with the surgeon, and 78% of subjects would recommend breast reduction to others.
过去很少有出版物专门探讨缩乳术在减轻巨乳相关症状方面的效果，而对缩乳术后患者满意度进行调查的更是少之又少。本研究调查缩乳术后的长期效果、发病率及患者满意度。在1987年1月至1996年12月的研究期间，向在哈马德医疗公司接受缩乳术的296名患者发送了一份综合问卷。单次邮寄问卷的回复率为55.4%。对回复患者（164名患者）的病历进行了回顾性审查。手术时患者的平均年龄为29.7岁，术前平均体重为75.9千克。78%的受访者将缓解大乳房的身体症状列为手术的主要动机。每侧乳房平均切除1037克组织。91%的受试者症状得到改善，65%无症状。总体满意率为67.6%，而18.4%不满意，14%不确定。29%的受试者报告了无需进一步手术的轻微并发症。27%的受访者希望术前能与外科医生进行更多讨论，78%的受试者会向他人推荐缩乳术。
