摘要
目的探讨青年男性乳房发育症的流行病学特点及其危险因素。方法回顾性分析我院收治的89例青年男性乳房发育症(GYN)的临床资料,采用自行设计的问卷进行调查,分析青年男性乳房发育症的流行病学特点,同期入组89例无乳房发育症青年男性作为对照,采用单因素分析及多因素Logistic回归分析影响青年男性乳房发育症的危险因素。结果青年GYN乳房发育以乳房结节表现为主(68.54%),双侧乳房增大(78.65%),雌激素受体阳性85.39%,孕激素受体阳性83.15%,超声像图表现以类女性乳腺型(46.07%)和结节型(43.82%)为主。E2、雌激素受体阳性、孕激素受体阳性、BMI、与祖辈同住、爱吃零食、睾丸病变史、家族中有类似病史是青年男性乳腺发育症的高危因素。结论青年男性乳房发育症有其自身流行病学特点,发病因素较为复杂,对伴有发病高危因素的男性,应加强行为干预预防疾病发生,对于GYN患者根据Simon分类法选择合适的外科手术治疗疗效明显。
Objective To analyze the epidemiological characteristics and risk factors of GYN in young man.Methods The clinical data of 89 young men with GYN were analyzed,The epidemiological characteristics of GYN were analyzed by self-designed questionnaires.the risk factors of GYN were analyzed by Univariate analysis and multivariate logistic regression analysis.Results 68.54%of GYN in young man showed Breast lump,78.65%were bilateral enlargement,85.39%with estrogen receptor-positive,83.15%with progesterone receptor positive.the ultrasonography showed 46.07%with female breast type and 43.82%with nodular type.E2,estrogen receptor positive,progesterone receptor positive,BMI,Live with grandparents,Love eating snacks,Testicular history,similar history in the family was the high risk factor for GYN.Conclusion GYN of young man has its own epidemiological characteristics,which has Complex risk factors,the behavioral intervention to prevent the disease should be strengthen for men with high risk factors,and the appropriate surgical treatment has obvious effect for GYN patients,which were chosen according to Simon classification.
作者
陈达丰
周松
张雪惠
陈月凤
刘舜辉
金娥
CHEN Da-feng;ZHOU Song;ZHANG Xue-hui(Department of general Surgery,the Affiliated Southeast Hospital of Xiamen University,Orthopaedic Center of People’s Liberation Army,Zhangzhou363000,China)
出处
《中国实验诊断学》
2019年第7期1151-1155,共5页
Chinese Journal of Laboratory Diagnosis
基金
漳州市科技计划项目(ZZ2012J28)
