摘要
目的探讨内窥镜辅助腋窝切口与传统乳晕切口手术治疗男性乳房发育的效果。方法2018年7月1日至2019年4月30日,中国医学科学院整形外科医院乳房整形美容中心手术治疗男性乳房发育患者50例,年龄18~40(25.3±6.0)岁,其中内窥镜辅助腋窝切口组24例,传统乳晕切口组26例。术后对手术效果、患者满意度进行定量评估及组间比较。结果内窥镜辅助腋窝切口组24例出现血肿1例(4.2%)、血清肿1例(4.2%)、切口愈合不良1例(4.2%);传统乳晕切口组26例出现血肿2例(7.7%)、乳头感觉减退2例(7.7%)、两组患者并发症比较,差异无统计学意义(P>0.05)。患者满意度方面,内窥镜辅助腋窝切口组瘢痕满意度明显优于传统乳晕切口组(t=2.064,P<0.05)。结论内窥镜辅助腋窝切口治疗男性乳房发育瘢痕隐蔽,显著改善乳房外观,患者满意度高,值得临床应用。
Objective To evaluate the clinical outcomes of the endoscopic assisted axillary approach in treating gynecomastia with comparison against the conventional periareolar open excision method,and to present our experience utilizing this technique.Methods Fifty participants diagnosed with gynecomastia were included in this study,among which twenty-six were treated using periareolar open excision,and twenty-four were subjected to endoscopic assisted axillary approach.Clinical outcomes and patient reported satisfaction were assessed postoperatively.Results One hematoma(4.2%),one seroma(4.2%),and one wound dehiscence(4.2%)were encountered in the endoscopic assisted axillary group;two hematoma(7.7%)and two nipple hypoesthesia(7.7%)occured in the periareolar group.The total complication rate between the two groups was of no significant differences(P>0.05).The patient reported satisfaction score of the endoscopic assisted axillary group rated significantly higher than the periareolar group on the scar domain(t=2.064,P=0.044).Conclusions Endoscopic assisted axillary approach presents higher patient satisfaction and low complication rate,which is worth widely using in future clinical practice.
作者
徐伯扬
杨燕
穆大力
Xu Boyang;Yang Yan;Mu Dali(Breast Plastic Surgery Center,Plastic Surgery Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100144,China)
出处
《中华医学美学美容杂志》
2020年第1期12-15,共4页
Chinese Journal of Medical Aesthetics and Cosmetology
基金
中国医学科学院整形外科医院院所基金(Z2018001)。
关键词
男性乳腺发育
内窥镜
修复外科
前瞻性队列研究
患者满意度
Gynecomastia
Endoscopes
Reconstructive surgical procedures
Prospectivecohortstudy
Patient-reported outcome
