经腋窝内镜隆胸术后的生活质量——一项前瞻性研究。

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-01-01 DOI:10.1016/j.bjps.2024.10.009

Markus Klöppel , Kathrin Breit , Hans-Günther Machens , Laszlo Kovacs , Nikolaos A. Papadopulos

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引用次数: 0

摘要

背景：作者之前的研究提出了一个假设，即美容手术一般对生活质量（QoL）有积极的影响。本前瞻性研究旨在探讨经腋窝内镜隆胸对患者生活质量的适应症特异性影响。方法：77例患者行美容隆胸术。50例患者符合纳入标准。所有患者术前填写一份问卷，术后6个月进行随访。测试工具包括一份自行开发的适应症调查问卷和五份具有德国标准数据的标准化和验证问卷：生活满意度问题，模块（FLZM，德语版），弗莱堡人格量表（FPI-R），罗森伯格自尊量表（SRES），患者健康问卷（PHQ-4）和乳房- q |增强。结果：我们自行设计的适应证问卷对术后结果满意度较高。结论：经腋窝内窥镜隆胸对生活质量和性行为有显著影响。手术不仅对干预的效果和具体的外观满意，而且对总体的生活和健康状况满意。它能提高情绪稳定性。因此，作者在先前研究中的假设对于这一特定适应症是前瞻性的。

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Quality of life after transaxillary endoscopic breast augmentation—A prospective study

Background

The authors’ previous research suggested the hypothesis that aesthetic surgery in general has a positive impact on quality of life (QoL). This prospective study aimed to investigate the indication-specific effect on QoL in patients undergoing transaxillary endoscopic breast augmentation.

Methods

Seventy-seven patients underwent aesthetic breast augmentation. Fifty patients met the inclusion criteria. All of them answered one set of the questionnaires preoperatively, and the follow-up set at 6 months postoperatively. The testing instruments included a self-developed indication-specific questionnaire and five standardised and validated questionnaires with German norm data available: Questions on Life Satisfaction, Modules (FLZ^M, German version), the Freiburg Personality Inventory-Revised (FPI-R), the Rosenberg Self-Esteem Scale (SRES), the Patient Health Questionnaire (PHQ-4) and the Breast-Q | Augmentation.

Results

Our self-developed indication-specific questionnaire shows high satisfaction with the postoperative results. The FLZ^M demonstrated significant improvements in the module life in general (p < 0.001), ‘hobbies’ (p < 0.001), ‘health’ (p = 0.04), ‘family life’ (p = 0.03) and ‘partner relationship/sexuality’ (p < 0.001). Moreover, the FPI-R revealed a significant improvement in emotional stability (p < 0.001). Moreover, the PHQ-4 showed a significant reduction in overall psychological distress (p < 0.001). Further, Breast-Q indicated a significant increase in psychological (p < 0.001) and sexual well-being (p < 0.001).

Conclusion

Transaxillary endoscopic breast augmentation has a significant impact on QoL and sexuality. The surgery leads to a higher satisfaction not only with the result of intervention and the outer appearance specifically, but also with life and the state of health generally. It improves emotional stability. Therefore, the authors’ hypothesis in a previous research was confirmed for this specific indication prospectively.

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.