摘要
目的比较经腋窝腔镜辅助切除男性乳腺肥大腺体与传统手术方法的临床效果。方法选取自2016年1月至2017年10月收治的男性乳腺发育伴增生肥大的患者112例,其中实验组76例(经腋窝腔镜辅助切除法),对照组36例(传统手术法)。比较两组在切口长度、拔管时间、手术时间、满意度、乳头乳晕感觉方面的差异。结果实验组76例患者,术后瘢痕长度明显小于对照组,且满意度明显高于对照组,其差异具有统计学意义(P<0.05);实验组和对照组的拔管时间差异无统计学意义(P>0.05);实验组乳头乳晕感觉度明显好于对照组,其差异具有统计学意义(P<0.05)。结论采用经腋窝腔镜切除男性乳腺肥大腺体,具有切口隐蔽、外形美观、患者满意度较高等特点,符合患者对胸部整形的要求,在临床上具有推广意义。
Objective To compare the clinical effectiveness of axillary endoscopic mastectomy and traditional areola incision in the treatment of gynecomastia. Methods One hundred and twelve patients with gynecomastia（including 76 cases in an experimental group and 36 in a control group） were enrolled in the study. The experimental group was treated with axillary endoscopic mastectomy and the control group was treated with traditional areola incision. The length of incision, operation time, extubation time, self-rating difference satisfaction scale, as well as the appearance and health of the nipple and areola were compared for the two groups. Results The postoperative scar length in the experimental group was significantly shorter than that in the control group and the degree of satisfaction was significantly higher than in the control group. The difference was statistically significant（P〈0.05）. There was no significant difference in extubation time between the experimental group and the control group. The shape of the nipple and areola in the experimental group had a significantly better appearance than that in the control group. The difference was statistically significant（P〈0.05）. Conclusion Axillary incision mastectomy has a better appearance and high patient satisfaction, and it can be widely used in clinic.
作者
王品
吴剑
郭慧敏
张文杰
刘虹
许章波
王浩斌
张艳
WANG Pin;WU Jian;GUO Hui-min;ZHANG Wen-jie;LIU Hong;XU Zhang-bo;WANG Hao-bin;ZHANG Yan(Department of Breast Thyroid Surgery,The Third People＇s Hospital of Chengdu,Chengdu 610000,China)
出处
《中国美容整形外科杂志》
CAS
2018年第7期395-398,共4页
Chinese Journal of Aesthetic and Plastic Surgery
