摘要
目的:探讨微创环乳晕切口手术与开放式切除手术治疗男性乳腺发育症(GYN)的效果影响。方法:选取2020年8月至2022年8月期间在本院收治的GYN患者105例,依照手术治疗方案不同分为两组,即选择微创环乳晕切口手术的63例GYN病例纳入观察组,选择开放式切除手术的42例同类病例纳入对照组。对比两组手术相关指标、伤口愈合时间、瘢痕宽度及乳腺美观度、术前后的创伤应激指标水平[去甲肾上腺素(NE)、肾上腺素(E)、皮质醇(Cor)]变化、术后并发症发生情况及术后效果满意度。结果:观察组的手术时间、住院时间、伤口愈合时间均短于对照组(P<0.05),术中出血量少于对照组(P<0.05),切口长度及瘢痕长度短于对照组(P<0.05),乳腺美观度高于对照组(P<0.05);两组术后血清NE、E及Cor水平高于术前(P<0.05),但观察组的下降幅度小于对照组(P<0.05);观察组的术后并发症总发生率低于对照组(3.17%vs21.43%,P<0.05);观察组关于术后胸部外观、伤口疤痕及皮肤与皮肤及乳晕乳头感觉共3项内容满意度评分及整体满意度评分均高于对照组(P<0.05)。结论:相比开放式切除手术,微创环乳晕切口手术治疗GYN患者的手术时间、伤口愈合时间及住院时间更短,术中出血量更少,术后切口长度、瘢痕长度更短,能明显减轻术后创伤应激反应,减少术后并发症,提高患者对术后效果满意度。
Objective:To explore the effects of minimally invasive surround-mammary areola incision surgery and open resection surgery in the treatment of gynecomastia(GYN).Methods:A total of 105 patients with GYN admitted to the hospital from August 2020 to August 2022 were selected and divided into two groups according to different surgical treatment regimens.Among the patients,63 cases with GYN undergoing minimally invasive surround-mammary areola incision surgery were included in observation group,and 42 cases receiving open resection surgery were enrolled as control group.The surgery-related indicators,wound healing time,scar width,breast beauty,preoperative and postoperative traumatic stress indicators[norepinephrine(NE),epinephrine(E),cortisol(Cor)],occurrence of postoperative complications and postoperative effect satisfaction were compared between the two groups.Results:The surgical time,hospital stay and wound healing time in observation group were shorter than those in control group(P<0.05),and the intraoperative blood loss was less than that in control group(P<0.05),and the incision length and scar length were shorter compared with those in control group(P<0.05),and the breast beauty was higher compared to control group(P<0.05).The levels of serum NE,E and Cor in both groups were higher after surgery than those before surgery(P<0.05),but the decreases in observation group were lower than those in control group(P<0.05).The total incidence rate of postoperative complications was lower in observation group than that in control group(3.17%vs 21.43%,P<0.05).The satisfaction scores of postoperative chest appearance,wound scar and skin and areola nipple sensation and overall satisfaction score in observation group were higher compared with those in control group(P<0.05).Conclusion:Compared with open resection surgery,minimally invasive surround-mammary areola incision surgery for patients with GYN has shorter surgical time,wound healing time and hospital stay,less intraoperative blood loss and shorter postoperative inci
作者
何姣
周瑜辉
马晓霞
齐晶
HE Jiao;ZHOU Yuhui;MA Xiaoxia(The First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China)
出处
《河北医学》
CAS
2023年第9期1489-1494,共6页
Hebei Medicine
基金
陕西省自然科学基础研究计划项目,(编号:2019JM-553)。
关键词
微创环乳晕切口手术
开放式切除手术
男性乳腺发育症
Minimally invasive surround-mammary areola incision surgery
Open resection surgery
Gynecomastia
