腔镜下溶脂吸脂术对男性乳房发育患者术后早期恢复及乳房外观的影响OA
Effects of Endoscopic Liposuction on Early Postoperative Recovery and Breast Appearance in Patients with Gynecomastia
目的:探讨腔镜下溶脂吸脂术与乳晕下弧形切口腺体切除术对男性乳房发育患者术后早期恢复及乳房外观的影响.方法:选取2021年1月-2024年1月笔者医院收治的63例男性乳房发育患者,按照手术方式的不同分为对照组(30例,行乳晕下弧形切口腺体切除术)和观察组(33例,行腔镜下溶脂吸脂术).对比两组围手术期指标(术中出血量、手术时间、拆线时间、住院时间),术后6个月乳房外观(乳晕坍塌、外观恢复正常),瘢痕情况[温哥华瘢痕评估量表(VSS)评分],记录两组术后并发症发生情况,收集所有患者术后满意度.结果:两组手术时间比较,差异无统计学意义(P＞0.05);观察组较对照组术中出血量更少,术后拆线时间、住院时间更短(P＜0.05).对照组乳头乳晕坏死率为13.33%,观察组未发生乳头乳晕坏死(P＜0.05);两组其余并发症发生率比较差异无统计学意义(P＞0.05).术后6个月,观察组VSS、乳房外形、乳头外形及切口评分均优于对照组(P＜0.05);两组乳房双侧对称性和整体体型评分比较差异无统计学意义(P＞0.05).结论:与乳晕下弧形切口腺体切除术相比较,腔镜下溶脂吸脂术治疗男性乳房发育患者可减少其术中出血量,缩短术后拆线时间,促进术后恢复,还可保证其术后乳房外观,瘢痕效果不明显,且并发症少,患者满意度高.
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.
魏飞鹏;刘玉;王红莉
中国融通医疗健康集团有限公司邯郸二八五医院医疗美容科 河北 邯郸 056001内蒙古医科大学附属医院整形外科 内蒙古 呼和浩特 010030中国融通医疗健康集团有限公司邯郸二八五医院医疗美容科 河北 邯郸 056001
医药卫生
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
male gynecomastiasubareolar arcuate incisiongland excisionendoscopic liposuctionscar
《中国美容医学》 2026 (6)
42-45,4
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