植入物属性还是患者特征? 影响跨性别女性乳房增大后结果的因素
Alexander Kamali1,2, Helena Sackey1,3, Isak Gran1,4
1From the Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden.
Plastic and reconstructive surgery. Global open
|September 21, 2023
概括
使用更大,圆形,胸前植入物的跨性别女性的乳房增大显示出与 cisgender 女性相比,类似的并发症率. 植入物特性或安置技术没有显著影响手术结果.
科学领域:
- 整形外科 整形外科 整形外科
- 肯定性别的护理
- 手术结果研究研究.
背景情况:
- 基于植入物的乳房增大术是跨性别女性性别失调治疗的关键手术.
- 了解影响手术结果的因素对于优化结果至关重要.
研究的目的:
- 评估植入物属性,手术平面和患者特征对跨性别女性乳房增大结果的影响.
- 为了比较跨性别女性和接受增强性乳房整形手术的 cisgender 女性之间的这些参数.
主要方法:
- 对143名经过乳房增大 (2009-2018) 的跨性别女性进行了回顾性研究.
- 与来自瑞典乳腺植入物注册局 (BRIMP) 的大量队列 (12,884) 的比较.
- 根据植入物大小,形状和位置,分析并发症率,重新手术和二次纠正.
主要成果:
- 在胸前和胸下植入物放置之间,并发症率没有显著差异.
- 植入物大小和形状与并发症率没有独立的相关性.
- 与BRIMP队列中的 cisgender女性相比,跨性别女性更频繁地接受了较大,圆形的植入物,放置在胸前.
- 在30天内重新手术的比率是可比的,尽管跨性别女性的比率略高 (2.8%对1.2%).
结论:
- 尽管在植入物特征和放置方面存在差异 (变性妇女的植入物特征和放置 (较大,圆形,胸前),但并发症率与 cisgender 女性相等.
- 植入物属性,手术技术和患者因素并没有独立地与并发症率相关.
- 乳房增大是跨性别女性的一种安全有效的手术,其结果与 cisgender 人群相似.
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