中国美容医学2024，Vol.33Issue(6)：26-30,5.
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
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
摘要
Abstract
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.关键词
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Key words
gynecomastia/mammotome-assisted minimally invasive resection/minimal periareolar incision/hydrodynamic liposuction/clinical efficacy/aesthetic effect分类
医药卫生引用本文复制引用
韩朋,张洁,马云鹏,张春莉..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[J].中国美容医学,2024,33(6):26-30,5.基金项目
河北省2023年度医学科学研究课题(编号:20230593) （编号:20230593）
