摘要
Abstract
Objective To explore the effects of endoscopic liposuction and glandectomy with subareolar arc incision on early postoperative recovery and breast appearance in patients with gynecomastia.Methods A total of 63 patients with gynecomastia admitted to the hospital were enrolled between January 2021 and January 2024.According to different surgical methods,they were divided into control group(30 cases,glandectomy with subareolar arc incision)and observation group(33 cases,endoscopic liposuction).The perioperative indexes(intraoperative blood loss,operation time,suture removal time,length of hospital stay),breast appearance(mammary areola collapse,appearance recovery)and scars[Vancouver Scar Scale(VSS)]at 6 months after surgery were compared between the two groups.The occurrence of postoperative complications was recorded,and postoperative satisfaction of all patients was collected.Results There was no significant difference in operation time between the two groups(P＞0.05).Compared with the control group,the observation group had less intraoperative blood loss,shorter postoperative suture removal time and hospital stay(P＜0.05).The necrosis rate of nipple and areola in the control group was 13.33%,and there was no nipple and areola necrosis in the observation group(P＜0.05).There was no significant difference in the incidence of other complications between the two groups(P＞0.05).Six months after operation,the VSS,breast shape,nipple shape and incision score of the observation group were better than those of the control group(P＜0.05).There was no significant difference in the scores of bilateral breast symmetry and overall body shape between the two groups(P＞0.05).Conclusion Compared with glandectomy with subareolar arc incision,endoscopic liposuction can reduce intraoperative blood loss,shorten postoperative suture removal time and promote postoperative recovery while ensuring postoperative breast appearance in patients with gynecomastia,with non-obvious scar effect,few complications and high patients satisfaction.关键词
男性乳房发育/乳晕下弧形切口/腺体切除术/腔镜下溶脂吸脂术/瘢痕Key words
male gynecomastia/subareolar arcuate incision/gland excision/endoscopic liposuction/scar分类
医药卫生
