经乳晕下弧形切口腺体切除术在男性乳腺发育症治疗中的应用  

Application of glandectomy with subareolar arc incision in the treatment of gynecomastia

作　　者：王滔 孙静 张磊 王畏 周凯 WANG Tao;SUN Jing;ZHANG Lei;WANG Wei;ZHOU Kai(Fourth Department of General Surgery,the First Affiliated Hospital of Bengbu Medical University,Bengbu Anhui 233000,China;Department of Obstetrics,the First Affiliated Hospital of Bengbu Medical University,Bengbu Anhui 233000,China;Department of General Surgery,the Second Affiliated Hospital of Bengbu Medical University,Bengbu Anhui 233000,China;Department of Surgical Oncology,the Second Affiliated Hospital of Bengbu Medical University,Bengbu Anhui 233000,China)

机构地区：[1]蚌埠医科大学第一附属医院普外四科,安徽蚌埠233000 [2]蚌埠医科大学第一附属医院产科,安徽蚌埠233000 [3]蚌埠医科大学第二附属医院普外科,安徽蚌埠233000 [4]蚌埠医科大学第二附属医院肿瘤外科,安徽蚌埠233000

出　　处：《局解手术学杂志》2024年第12期1052-1057,共6页Journal of Regional Anatomy and Operative Surgery

基　　金：安徽省临床重点专科建设项目(皖卫传[2023]300号);安徽省高校自然科学研究重点项目(KJ2021A0755);蚌埠医科大学自然科学重点项目(2021byzd208);蚌埠医科大学重点科研平台重点项目(AHCM2023Z002)。

摘　　要：目的 探讨经乳晕下弧形切口腺体切除术治疗男性乳腺发育症(GYN)的临床疗效。方法 选取2020年9月至2023年10月蚌埠医科大学第一附属医院收治的GYN患者86例为研究对象,按照手术治疗方案,将其分为观察组(46例)和对照组(40例)。观察组患者采用经乳晕下弧形切口腺体切除术,而对照组患者则采用传统的胸部下皱褶切口腺体切除术。观察比较2组患者围术期指标、术后6个月乳房外观、术前及术后6个月心理状态、术后并发症、术后6个月患者满意度等情况。结果 与对照组相比,观察组患者切口长度、住院时间、手术时间、切口愈合时间较短(P<0.05),术中出血量较少(P<0.05)。术后6个月,观察组乳房外观恢复正常的患者比例显著高于对照组(P<0.05)。观察组患者术后6个月的抑郁自评量表(SDS)和焦虑自评量表(SAS)评分均明显低于对照组(P<0.05)。观察组术后并发症总发生率明显低于对照组(P<0.05)。术后6个月,观察组患者总体满意度评分高于对照组(P<0.05)。结论 经乳晕下弧形切口腺体切除术治疗GYN临床效果好,具有切口小、安全性高、术后恢复快、乳房美观度高,可改善患者生活质量和心理状态,值得临床推广应用。Objective To investigate the clinical effect of glandectomy with subareolar arc incision in the treatment of gynecomastia(GYN).Methods A total of 86 GYN patients admitted to the First Affiliated Hospital of Bengbu Medical University from September 2020 to October 2023 were selected as the study objects,and they were divided into the observation group(46 cases)and the control group(40 cases)according to the surgical treatment plan.Patients in the observation group were treated by glandectomy with subareolar arc incision,while patients in the control group were treated by glandectomy with traditional subthoracic crease incision.Perioperative indexes,breast appearance 6 months after surgery,psychological state before and 6 months after surgery,postoperative complications,and patient's satisfaction 6 months after surgery were observed and compared between the two groups.Results Compared with the control group,the incision length,hospital stay,operation time and incision healing time of patients in the observation group were shorter(P<0.05),and the intraoperative blood loss was less(P<0.05).The proportion of patients with normal breast appearance 6 months after surgery in the observation group was significantly higher than that in the control group(P<0.05).The scores of self-rating depression scale(SDS)and self-rating anxiety scale(SAS)6 months after surgery of patients in the observation group were significantly lower than those in the control group(P<0.05).The total incidence of postoperative complications in the observation group was significantly lower than that in the control group(P<0.05).The overall satisfaction score 6 months after surgery of patients in the observation group was higher than that in the control group(P<0.05).Conclusion Glandectomy with subareolar arc incision for the treatment of GYN has good clinical effect,with small incision,high safety,quick postoperative recovery,and high breast beauty,which can improve the quality of life and psychological state of patients,and is worthy of clinical appl

关 键 词：男性乳腺发育症 乳晕下切口 开放式切除手术 美容效果 

分 类 号：R615[医药卫生—外科学]