易性病女转男的乳房切除术

Mastectomy in female-to-male transsexuals

目的:回顾分析易性病女转男型患者乳房切除术的临床资料,探讨乳房切除术在女转男易性病中的疗效及安全性。方法:选择2008年1月～2010年7月间在长征医院整形35例易性病女转男型患者,共70侧乳房切除,主要采用乳晕下"C"形切口、跨乳晕"S"形切口、双环法切口及乳头乳晕游离移植等不同手术方法进行转型手术的乳房切除。手术方法的选择主要依据:①乳房的大小;②乳房皮肤的弹性;③乳房下垂的情况。结果:术后随访6个月,所有易性病患者乳房切除术后并发症较少,术后患者满意度高。结论:乳房皮肤过多、皮肤弹性和乳房下垂是转性患者选择乳房切除术具体手术方法的关键因素,根据不同患者的乳房条件采用不同的手术方法能够提高患者满意度并减少并发症。

Objective We performed a retrospective analysis,using the clinical data of female-to-male who underwent mastectomy,to evaluate the effectiveness and safety of mastectomy for female-to-male transsexual patients.Methods A total of 70 subcutaneous mastectomies were performed in 35 female-to-male transsexuals,using the following techniques： semicircular,transareolar,concentric circular,and free nipple graft.The technique used depended on the breast size and envelope,the aspect and position of the nipple-areola complex,and the skin elasticity.Results Six months followed up after mastectomy,all patients were satisfied and with less complications.Conclusion Breast volume,skin elasticity and degree of ptosis are the key factors in choosing the appropriate technique for subcutaneous mastectomy,which can improve patient satisfaction and reduce complications.