真空辅助乳腺微创旋切系统联合抽脂治疗SimonⅡ型男性乳房发育症的临床研究

Clinical study of vacuum-assisted breast minimally invasive circumferential system combined with liposuction in the treatment of Simon type Ⅱ gynecomastia

目的探讨真空辅助乳腺微创旋切系统联合抽脂治疗SimonⅡ型男性乳房发育症的临床效果。方法选取2019年2月至2021年8月上饶市人民医院收治的46例SimonⅡ型男性乳房发育症患者作为研究对象,按照随机数字表法分为A组(23例)与B组(23例)。A组采用开放手术治疗,B组采用真空辅助乳腺微创旋切系统联合抽脂治疗,两组均随访1.5年。比较两组患者手术相关指标,术后1周疼痛程度,随访后美学评估、整体满意度,以及随访前并发症情况。结果B组手术时间、切口长度短于A组,差异有统计学意义(P<0.05);术后1周,B组疼痛程度轻于A组,差异有统计学意义(P<0.05);随访后,B组乳房外观、乳房对称性、乳头乳晕复合体的形状和对称性、可见瘢痕评分低于A组,差异有统计学意义(P<0.05);随访期间,B组并发症总发生率低于A组,差异有统计学意义(P<0.05);随访后,B组胸部外观、切口瘢痕增生情况、皮肤及乳头乳晕感觉满意度评分高于A组,差异有统计学意义(P<0.05)。结论真空辅助乳腺微创旋切系统联合抽脂治疗SimonⅡ型男性乳房发育症有利于优化手术相关指标,减轻疼痛程度,促进术后胸部外形美观,提高整体满意度,且安全性高。

Objective To investigate the clinical effect of vacuum-assisted breast minimally invasive circumferential system combined with liposuction in the treatment of SimonⅡtype gynecomastia.Methods A total of 46 patients with gynecomastia SimonⅡtreated in Shangrao People's Hospital from February 2019 to August 2021 were selected as the study objects,and were divided into group A(23 cases)and group B(23 cases)according to random number table method.Group A was treated with open surgery,and group B was treated with vacuum-assisted minimally invasive breast rotation system combined with liposuction,and both groups were followed up for 1.5 years.Surgery-related indicators,pain level 1 week after surgery,aesthetic evaluation after follow-up,overall satisfaction,and complications before follow-up were compared between the two groups.Results The operation time and incision length of the group B were shorter than those of the group A,the differences were statistically significant(P<0.05).1 week after surgery,the pain degree of the group B was less than that of the group A,the difference was statistically significant(P<0.05).After follow-up,breast appearance,breast symmetry,shape and symmetry of nipple and areola complex,visible scar score of the group B were lower than those of the group A,the differences were statistically significant(P<0.05).During the follow-up period,the total complication rate of the group B was lower than that of the group A,the difference was statistically significant(P<0.05).After follow-up,the chest appearance,wound scar hyperplasia,skin and nipple and areola sensory satisfaction scores of the group B were higher than those of the group A,the differences were statistically significant(P<0.05).Conclusion The combination of vacuum-assisted breast minimally invasive circumferential system combined with liposuction in the treatment of Simon typeⅡgynecomastia is beneficial to optimize surgical indicators,reduce the degree of pain,promote postoperative chest appearance,improve overall satisfaction,and high safety.