环乳晕微切口治疗男性乳腺发育症的效果.docVIP

环乳晕微切口治疗男性乳腺发育症的效果 　　[摘要] 目的 探究环乳晕微切口治疗男性乳腺发育症的恢复效果及患者的舒适度。 方法 选取2009年5月～2013年5月河北省邯郸市中心医院就诊的男性乳腺发育症患者90例为研究对象，将其随机分为治疗组与对照组，每组45例。治疗组予以环乳晕微切口手术治疗，对照组予以传统开放式切除术。观察两组患者的手术时间、愈合时间、手术瘢痕、住院时间、舒适度评分以及主要影响舒适度的术后并发症如疼痛及水肿。 结果 治疗组患者的手术时间[（61.45±32.28）min]、愈合时间[（9.53±3.16）d]、手术瘢痕[（2.0±0.7）cm]及住院时间[（11.29±4.58）d]均明显少于对照组[（85.16±31.74）min、（12.10±3.05）d、（3.6±1.1）cm、（14.35±5.16）d]，差异均有高度统计学意义（P 0.01）；治疗组的术后疼痛8例、水肿3例，对照组疼痛21例、水肿10例，治疗组明显少于对照组，差异均有统计学意义（P 0.05或P 0.01）；治疗组患者的舒适度评分[（72.25±10.31）分]高于对照组[（58.84±12.28）分]，差异有高度统计学意义（P 0.01）。 结论 环乳晕微切口治疗男性乳腺发育症的恢复效果及患者舒适度明显优于传统开放式手术，建议临床进一步推广。 　　[关键词] 男性乳腺发育症；环乳晕微切口；开放式手术；恢复效果；舒适度 　　[中图分类号] R655.8 [文献标识码] A [文章编号] 1673-7210（2014）11（a）-0041-04 　　The clinical efficacy of micro circum-areola incision on the recovery and patients comfort of the male gynecomastia 　　ZHANG Yingzhou1 HU Ling2 ZHANG Xiaofang3 ZHANG Yang4 ZHU Qingfen1 　　1.Department of Breast Surgery， the Center Hospital of Handan City， Hebei Province， Handan 056001， China； 2.Department of Medical Oncology， the Affiliated Hospital of Hebei University， Hebei Province， Baoding 071000， China； 3.Department of Surgery， Construction Bureau Hospital of Handan City， Hebei Province， Handan 056001， China； 4.Department of Radiology， Stomatological Hospital of Handan City， Hebei Province， Handan 056001， China 　　[Abstract] Objective To explore the clinical efficacy of micro circum-areola incision on the recovery effect and patient comfort of the male gynecomastia. Methods 90 cases of male gynecomastia in the Center Hospital Breast Surgery of Handan City from May 2009 to May 2013 were selected as the study objects. The patients were randomly divided into treatment group and control group， each group had 45 cases. The treatment group was given micro circum-areola incision， the control group was given traditional open surgery. The operation time， healing time， surgical scars， hospitalization and postoperative complications such as pain and edema， and patient comfort score of two gr