麦默通微创旋切术与环乳晕微切口术分别联合水动力吸脂治疗男性乳腺发育症的疗效对比OACSTPCD
Compare the Efficacy of Mammotome-assisted Minimally Invasive Resection and Surgery with Minimal Periareolar Incision Respectively Combined with Hydrodynamic Liposuction in the Treatment of Gynecomastia
目的:探究麦默通微创旋切手术与环乳晕微切口手术分别联合水动力吸脂治疗男性乳腺发育症的临床疗效及美学效果.方法:选取2021年10月-2022年7月笔者科室收治的80例Ⅱa级男性乳腺发育症患者,按随机数字表法将患者分为研究组和对照组各40例.研究组采用麦默通微创旋切手术联合水动力吸脂治疗,对照组采用环乳晕微切口手术联合水动力吸脂治疗.统计比较两组手术相关指标、临床疗效、并发症、复发情况及患者满意度.结果:两组住院时间和术中出血量比较差异均无统计学意义(P＞0.05);研究组切口长度、手术时间及伤口愈合时间短于对照组(P＜0.05),但医疗费用高于对照组(P＜0.05).两组均未出现复发和乳头及皮肤坏死的情况;研究组并发症发生率为20.00%,低于对照组的42.50%(P＜0.05).研究组治疗总有效率为97.50%,高于对照组的85.00%(P＜0.05).研究组患者对胸部平坦度、两侧对称度、切口瘢痕增生情况、皮肤及乳头乳晕感觉的满意度评分均高于对照组(P＜0.05).结论:与环乳晕微切口手术联合水动力吸脂相比,麦默通微创旋切手术联合水动力吸脂治疗男性乳腺发育症临床疗效更好,术后发生并发症概率更低,且术后胸部美学效果更理想、患者满意度更高,但医疗费用也更高.
Objective The aim of this study was to investigate the clinical efficacy and aesthetic effects of Mammotome-assisted minimally invasive resection and surgery with minimal periareolar incision respectively combined with hydrodynamic liposuction in the treatment of gynecomastia(GYN).Methods A total of 80 patients with grade Ⅱa gynecomastia admitted to author's department from October 2021 to July 2022 were selected.According to the random number table method,the patients were divided into study group and control group,with 40 cases in each group.The study group was treated with Mammotome-assisted minimally invasive resection combined with hydrodynamic liposuction,while the control group was treated with surgery with minimal periareolar incision combined with hydrodynamic liposuction.The operation related indicators,clinical efficacy,complications,recurrence and patient satisfaction were compared between the two groups.Results There was no significant difference in hospitalization time and intraoperative blood loss between the two groups(P＞0.05).The incision length,operation time and wound healing time of the study group were shorter than those of the control group(P＜0.05),but the medical cost was higher than that of the control group(P＜0.05).There was no recurrence and nipple and skin necrosis in the two groups.The incidence of complications in the study group was 20.00%,which was lower than 42.50%in the control group(P＜0.05).The total effective rate of the study group was 97.50%,which was higher than 85.00%of the control group(P＜0.05).The satisfaction scores of patients in the study group on chest flatness,bilateral symmetry,incision scar hyperplasia,skin and nipple areola sensation were higher than those in the control group(P＜0.05).Conclusion Compared with surgery with minimal periareolar incision combined with hydrodynamic liposuction,Mammotome-assisted minimally invasive resection combined with hydrodynamic liposuction is more effective in the treatment of GYN,with a lower incidence of postoperative complications.In addition,the postoperative aesthetic effect is more ideal,and patients are more satisfied with the appearance,but the medical expenses is higher.
韩朋;张洁;马云鹏;张春莉
河北医科大学第二医院整形外科 河北 石家庄 050000
临床医学
男性乳腺发育症麦默通微创旋切术环乳晕微切口水动力吸脂临床疗效美学效果
gynecomastiamammotome-assisted minimally invasive resectionminimal periareolar incisionhydrodynamic liposuctionclinical efficacyaesthetic effect
《中国美容医学》 2024 (006)
26-30 / 5
河北省2023年度医学科学研究课题(编号:20230593)
评论