外科理论与实践2025，Vol.30Issue(4)：310-315,6.DOI:10.16139/j.1007-9610.2025.04.04
环乳晕小切口与三孔腔镜治疗SimonⅡ型男性乳房发育症的对比分析
Comparative analysis between circumareolar small incision and three-port endoscopic surgery for the treatment of Simon Ⅱ gynecomastia
摘要
Abstract
Objective To compare the clinical efficacy between liposuction combined with circumareolar small incision and three-port endoscopic surgery for the treatment of Simon Ⅱ gynecomastia(GYN).Methods Comparative case data of 120 patients with GYN were retrospectively analyzed,61 patients in the open group underwent circumareolar small incision mastectomy after liposuction,and 59 patients in the endoscopic group underwent three-port endoscopic mastectomy after liposuction.The two groups were compared in terms of surgery-related indexes,occurrence of postoperative complications and patient satisfaction.Results The unilateral operation time of the open group was shorter than that of the endoscopic group,the unilateral gland resection weight in the open group was more than that in the endoscopic group,the hospitalization cost of the open group was less than that of the endoscopic group(all P<0.01).There was no significant difference in unilateral liposuction volume,drainage volume on the first postoperative day,and time to drain removal between the two groups(P>0.05).The incidence of complications in the open group and the endoscopic group were 8.2%and 13.6%respectively,and there was no significant difference between the two groups(P>0.05).The difference in the overall satisfaction scores between the two groups was not statistically significant(P>0.05).Conclusions Liposuction combined with circumareolar small incision or three-port endoscopic surgery both has good cosmetic effects in the treatment of Simon Ⅱ GYN.The operation with circumareolar small incision is simple,has a shorter operation time,costs less,and does not require special equipment,which is suitable for promotion and application in medical institutions.关键词
男性乳房发育症/乳房切除术/乳腺腔镜手术/环乳晕小切口/吸脂Key words
Gynecomastia(GYN)/Mastectomy/Breast endoscopic surgery/Circumareolar small incision/Liposuction分类
医药卫生引用本文复制引用
刘晖,刘思旋,胡俊艳,郑洁,姜姝君,王凤,龚航军,季亚婕,王建东..环乳晕小切口与三孔腔镜治疗SimonⅡ型男性乳房发育症的对比分析[J].外科理论与实践,2025,30(4):310-315,6.基金项目
上海市科委"科技创新行动计划"医学创新研究专项项目(23Y11920900D) （23Y11920900D）
上海市科学技术委员会科研计划项目(19401973000) （19401973000）
上海市中医药学会"凯宝"青年医师海派中医传承研究项目(2023-HPZY-04) （2023-HPZY-04）
国家自然科学基金(82004446) （82004446）
