局解手术学杂志2024，Vol.33Issue(12)：1052-1057,6.DOI:10.11659/jjssx.01E024092
经乳晕下弧形切口腺体切除术在男性乳腺发育症治疗中的应用
Application of glandectomy with subareolar arc incision in the treatment of gynecomastia
摘要
Abstract
Objective To investigate the clinical effect of glandectomy with subareolar arc incision in the treatment of gynecomastia(GYN).Methods A total of 86 GYN patients admitted to the First Affiliated Hospital of Bengbu Medical University from September 2020 to October 2023 were selected as the study objects,and they were divided into the observation group(46 cases)and the control group(40 cases)according to the surgical treatment plan.Patients in the observation group were treated by glandectomy with subareolar arc incision,while patients in the control group were treated by glandectomy with traditional subthoracic crease incision.Perioperative indexes,breast appearance 6 months after surgery,psychological state before and 6 months after surgery,postoperative complications,and patient's satisfaction 6 months after surgery were observed and compared between the two groups.Results Compared with the control group,the incision length,hospital stay,operation time and incision healing time of patients in the observation group were shorter(P<0.05),and the intraoperative blood loss was less(P<0.05).The proportion of patients with normal breast appearance 6 months after surgery in the observation group was significantly higher than that in the control group(P<0.05).The scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)6 months after surgery of patients in the observation group were significantly lower than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).The overall satisfaction score 6 months after surgery of patients in the observation group was higher than that in the control group(P<0.05).Conclusion Glandectomy with subareolar arc incision for the treatment of GYN has good clinical effect,with small incision,high safety,quick postoperative recovery,and high breast beauty,which can improve the quality of life and psychological state of patients,and is worthy of clinical application.关键词
男性乳腺发育症/乳晕下切口/开放式切除手术/美容效果Key words
gynecomastia/subareolar incision/open resection/cosmetic effect分类
医药卫生引用本文复制引用
王滔,孙静,张磊,王畏,周凯..经乳晕下弧形切口腺体切除术在男性乳腺发育症治疗中的应用[J].局解手术学杂志,2024,33(12):1052-1057,6.基金项目
安徽省临床重点专科建设项目(皖卫传[2023]300号) （皖卫传[2023]300号）
安徽省高校自然科学研究重点项目(KJ2021A0755) （KJ2021A0755）
蚌埠医科大学自然科学重点项目(2021byzd208) （2021byzd208）
蚌埠医科大学重点科研平台重点项目(AHCM2023Z002) （AHCM2023Z002）
