经腋窝腔镜辅助切除术治疗男性乳腺发育症效果观察  

Observation on Effect of Transaxillary Endoscopic Assisted Resection in the Treatment of Gynecomastia

作　　者：侯信明[1] 王春锋[1] 郭峰[1] HOU Xinming;WANG Chunfeng;GUO Feng(Department of Thyroid and Breast Surgery,the Second People's Hospital of Liaocheng,Liaocheng 252600,Shandong,China)

机构地区：[1]聊城市第二人民医院甲状腺乳腺外科,山东聊城252600

出　　处：《中国美容医学》2024年第7期112-114,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究经腋窝腔镜辅助切除术治疗男性乳腺发育症的效果。方法:选取2018年1月-2021年1月于笔者医院接受经腋窝腔镜辅助切除术的72例男性乳腺发育症患者为研究对象,观察分析患者围术期指标、疼痛情况[视觉模拟评分法(VAS)]、乳房外观、心理状况[症状自评量表(Symptom check list-90,SCL-90)]以及并发症。结果:本组72例患者,手术时间42~80 min,平均(60.57±5.24)min;切口长度0.5~5 cm,平均(3.15±1.02)cm;住院时间2~4.5 d,平均(3.77±0.21)d;失血量5~28 ml,平均(15.48±3.43)ml;切口愈合时间4~9 d,平均(6.27±1.33)d。患者术后3个月的SCL-90评分显著低于术前(P<0.05),术后乳房外观优良率达87.50%(63/72),术后无皮肤坏死病例,但出现1例皮下出血、1例血肿、2例切口感染,总并发症发生率为5.56%(4/72)。结论:经腋窝腔镜辅助切除术治疗男性乳腺发育症疗效好,并发症少,能显著改善患者乳房外观和心理状态。Objective To explore the effect of transaxillary endoscopic assisted resection in the treatment of gynecomastia.Methods A total of 72 patients with gynecomastia who underwent axillary endoscopic assisted resection in author's hospital from January 2018 to January 2021 were selected as the research objects.The perioperative indicators,pain[visual analogue scale(VAS)],breast appearance,psychological status[symptom checklist 90(SCL-90)]and complications of patients were observed and analyzed.Results The surgical time of 72 patients in this study was 42-80 min,with an average of(60.57±5.24)min.The incision length was 0.5-5 cm,with an average of(3.15±1.02)cm.The hospital stay was 2-4.5 days,with an average of(3.77±0.21)days.The blood loss volume was 5-28 ml,with an average of(15.48±3.43)ml.The average healing time was 4-9 days,with an average of(6.27±1.33)days.The SCL-90 score at 3 months after operation was significantly lower than that before operation(P<0.05).The excellent and good rate of postoperative breast appearance was 87.50%(63/72).There was no skin necrosis after operation,but 1 case of subcutaneous hemorrhage,1 case of hematoma,and 2 cases of incision infection occurred.The total incidence of complications was 5.56%(4/72).Conclusion Endoscopic axillary resection is effective in the treatment of gynecomastia,with few complications,and can significantly improve the breast appearance and psychological state of patients.

关 键 词：男性乳腺发育症 腋窝 腔镜 切除 乳房外观 

分 类 号：R622[医药卫生—整形外科]