吸脂术联合腺体切除术治疗男性乳房发育症的临床效果  

Clinical effect of liposuction combined with adenoidectomy in the treatment of gynecomastia

作　　者：江期华 王尚斌 吴晓波 魏文嵩 周志兵 许志宏 JIANG Jihua;WANG Shangbin;WU Xiaobo;WEI Wensong;ZHOU Zhibing;XU Zhihong(DepartmentⅢof Breast,Nanchang Third Hospital,Jiangxi Province,Nanchang330008,China)

机构地区：[1]南昌市第三医院乳腺三科,江西南昌330008

出　　处：《中国当代医药》2024年第14期17-20,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202311259)。

摘　　要：目的研究吸脂术联合腺体切除术治疗男性乳房发育症(GYN)的临床效果。方法选取2021年10月至2022年10月南昌市第三医院收治的30例GYN患者为研究对象,根据患者入院顺序单双号分为试验组和对照组,每组15例。对照组行开放手术治疗,试验组行吸脂术联合小切口腺体切除术治疗。比较两组患者的手术相关指标、手术效果满意度和心理状况。结果试验组的术中出血量少于对照组,住院时间短于对照组,差异有统计学意义(P<0.05);两组的并发症总发生率比较,差异无统计学意义(P>0.05);两组的手术效果中乳房对称、术区皮肤、乳头感觉、整体自我满意度评分比较,差异无统计学意义(P>0.05);两组的人际关系敏感、强迫症状、躯体化、抑郁得分比较,差异无统计学意义(P>0.05)。结论吸脂术联合小切口腺体切除术治疗GYN有良好效果,患者术中出血量更低的同时亦有良好的术后安全性,能保证患者有较好的手术效果满意度及心理状况,对缩短患者住院时间亦有积极作用。Objective To investigate the clinical effect of liposuction combined with adenoidectomy in the treatment of gynecomastia(GYN).Methods Thirty GYN patients admitted to Nanchang Third Hospital from October 2021 to October 2022 were selected as the study objects,and were divided into experimental group and control group according to the odd-even admission sequence,with 15 patients in each group.The control group was treated with open surgery,and the experimental group was treated with liposuction combined with small-incision adenoidectomy.The operation related indexes,satisfaction with operation effect and psychological status of the two groups were compared.Results The intraoperative blood loss of experimental group was less than that of control group,and the length of hospitalization was shorter,with statistical significances(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).There were no significant differences between the two groups in breast symmetry,operative skin,nipple sensation and overall self-satisfaction score(P>0.05).There were no significant differences in interpersonal sensitivity,obsessive symptoms,somatization and depression scores between the two groups(P>0.05).Conclusion Liposuction combined with small-incision adenoidectomy has a good effect on the treatment of GYN.Patients have lower intraoperative bleeding and good postoperative safety,which can ensure good surgical satisfaction and psychological status,and also have a positive effect on shortening hospital stay.

关 键 词：男性乳房发育症 吸脂术 腺体切除术 手术效果 满意度 心理状况 

分 类 号：R588[医药卫生—内分泌]