腔镜联合溶脂吸脂技术治疗男性乳房发育的效果及安全性分析

Effectiveness and safety of laparoscopic-assisted liposuction for treatment of gynaecomastia

目的探讨腔镜联合溶脂吸脂技术治疗男性乳房发育的效果及安全性。方法回顾性纳入2021年1月至2023年5月河南大学第一附属医院及南方医科大学附属韶关医院男性乳房发育患者115例,按照手术方式分为腔镜联合溶脂吸脂技术组(观察组)和传统乳晕小切口组(对照组)。其中对照组59例,年龄18~52(26.2±5.2)岁;观察组56例,年龄18~55(26.5±5.2)岁。比较两组患者手术时间、术中出血量、拔除引流管时间、手术并发症发生率、术后引流量、疼痛视觉模拟评分(VAS)、患者满意度等情况的差异。结果观察组术中出血量、拔除引流管时间、术后引流量分别为12.25±2.23、2.85±0.53、80.52±7.53,均少于对照组的26.53±2.35、4.22±0.59、81.25±8.54,差异均有统计学意义(均P<0.05)。观察组乳头乳晕区感觉异常发生率为1.8%(1/56),低于对照组的10.2%(6/59),差异有统计学意义(P<0.05)。观察组术后乳房外形、乳头外形和切口评分分别为(81.15±18.52)、(77.85±22.15)、(72.58±10.56)分,均高于对照组的(69.34±18.48)、(78.12±21.75)、(60.35±9.35)分,差异均有统计学意义(均P<0.05)。结论腔镜联合溶脂吸脂技术治疗男性乳房发育能减少术中出血量和术后引流量,缩短拔除引流管时间,且安全性较好。

ObjectiveTo explore the effectiveness and safety of laparoscopic-assisted liposuction in the treatment of gynecomastia.MethodsA retrospective study was conducted on 115 male breast development patients from January 2021 to May 2023 at the First Affiliated Hospital of Henan University and Shaoguan Hospital of Southern Medical University.The patients were divided into two groups based on surgical methods:the laparoscopic combined liposuction technique group(observation group)and the traditional areola incision group(control group).The control group consisted of 59 cases,aged between 18 and 52 years(26.2±5.2);There were 56 cases in the observation group,aged between 18 and 55 years(26.5±5.2).The differences in surgical time,intraoperative blood loss,drainage tube removal time,incidence of surgical complications,postoperative drainage volume,pain visual analog scale(VAS),and patient satisfaction were compared between two groups of patients.ResultsThe intraoperative bleeding volume,drainage tube removal time,and postoperative drainage volume in the observation group were 12.25±2.23,2.85±0.53,and 80.52±7.53,respectively,all of which were lower than those in the control group(26.53±2.35,4.22±0.59,81.25±8.54,respectively),and the differences were statistically significant(all P<0.05).The incidence of sensory abnormalities in the nipple areola area of the observation group was 1.8%(1/56),which was lower than the 10.2%(6/59)of the control group,and the difference was statistically significant(P<0.05).The postoperative breast shape,nipple shape,and incision score of the observation group were 81.15±18.52,77.85±22.15,and 72.58±10.56 points,respectively,all higher than the control group's 69.34±18.48,78.12±21.75,and 60.35±9.35 points,and the differences were statistically significant(all P<0.05).ConclusionsLaparoscopic combined with liposuction technology for the treatment of gynecomastia can reduce intraoperative bleeding and postoperative drainage volume and shorten the time for removing drainage tubes with better safety.