[1]侯信明,王春锋,郭 峰.经腋窝腔镜辅助切除术治疗男性乳腺发育症效果观察[J].中国美容医学,2024,(7):112-114.
　HOU Xinming,WANG Chunfeng,GUO Feng.Observation on Effect of Transaxillary Endoscopic Assisted Resection in the Treatment of Gynecomastia[J].Medical Aesthetics and Beauty,2024,(7):112-114.
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经腋窝腔镜辅助切除术治疗男性乳腺发育症效果观察()
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2024年7期
页码:
112-114
栏目:
出版日期:
2024-07-10

文章信息/Info

Title:
Observation on Effect of Transaxillary Endoscopic Assisted Resection in the Treatment of Gynecomastia
文章编号:
1008-6455（2024）07-0112-03
作者:
侯信明; 王春锋; 郭 峰
(聊城市第二人民医院甲状腺乳腺外科 山东 聊城 252600 )
Author(s):
HOU Xinming;  WANG Chunfeng;  GUO Feng
( Department of Thyroid and Breast Surgery, the Second People’s Hospital of Liaocheng, Liaocheng 252600, Shandong, China )
关键词:
男性乳腺发育症; 腋窝; 腔镜; 切除; 乳房外观
Keywords:
gynecomastia;  axillary fossa;  endoscopic;  resection;  appearance of breast
分类号:
R622
文献标志码:
A
摘要:
目的：探究经腋窝腔镜辅助切除术治疗男性乳腺发育症的效果。方法：选取2018年1月-2021年1月于笔者医院接受 经腋窝腔镜辅助切除术的72例男性乳腺发育症患者为研究对象，观察分析患者围术期指标、疼痛情况[视觉模拟评分法 （VAS）]、乳房外观、心理状况[症状自评量表（Symptom check list-90，SCL-90）]以及并发症。结果：本组72例患者， 手术时间42～80 min，平均（60.57±5.24）min；切口长度0.5～5 cm，平均（3.15±1.02）cm；住院时间2～4.5 d，平均 （3.77±0.21）d；失血量5～28 ml，平均（15.48±3.43）ml；切口愈合时间4～9 d，平均（6.27±1.33）d。患者术后3个 月的SCL-90评分显著低于术前（P＜0.05），术后乳房外观优良率达87.50%（63/72），术后无皮肤坏死病例，但出现1例皮 下出血、1例血肿、2例切口感染，总并发症发生率为5.56%（4/72）。结论：经腋窝腔镜辅助切除术治疗男性乳腺发育症疗 效好，并发症少，能显著改善患者乳房外观和心理状态。
Abstract:
Objective To explore the effect of transaxillary endoscopic assisted resection in the treatment of gynecomastia. Methods A total of 72 patients with gynecomastia who underwent axillary endoscopic assisted resection in author’s hospital from January 2018 to January 2021 were selected as the research objects. The perioperative indicators, pain [visual analogue scale (VAS)], breast appearance, psychological status [symptom checklist 90 (SCL-90)] and complications of patients were observed and analyzed. Results The surgical time of 72 patients in this study was 42-80 min, with an average of (60.57±5.24) min. The incision length was 0.5-5 cm, with an average of (3.15±1.02) cm. The hospital stay was 2-4.5 days, with an average of (3.77±0.21) days. The blood loss volume was 5-28 ml, with an average of (15.48±3.43) ml. The average healing time was 4-9 days, with an average of (6.27±1.33) days. The SCL-90 score at 3 months after operation was signifi cantly lower than that before operation (P ＜0.05). The excellent and good rate of postoperative breast appearance was 87.50% (63/72). There was no skin necrosis after operation, but 1 case of subcutaneous hemorrhage, 1 case of hematoma, and 2 cases of incision infection occurred. The total incidence of complications was 5.56% (4/72). Conclusion Endoscopic axillary resection is eff ective in the treatment of gynecomastia, with few complications, and can signifi cantly improve the breast appearance and psychological state of patients.

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更新日期/Last Update: 2024-07-12