跨性别和非二进制未成年人中性别肯定手术的时间趋势
Bashar Hassan1, Ferris Zeitouni2,1, Mona Ascha1
1Center for Transgender and Gender Expansive Health, Johns Hopkins University, Baltimore, USA.
Cureus
|October 27, 2023
概括
跨性别和非二进制 (TGNB) 未成年人的性别肯定手术 (GAS),主要是胸部男性化手术 (CMS),正在增加. 这项研究发现,TGNB未成年人的CMS是安全的,并发症率低.
科学领域:
- 儿科手术 儿科手术
- 确认性别的护理
- 外科手术的结果
背景情况:
- 越来越多的跨性别或非二进制 (TGNB) 未成年人正在寻求性别肯定手术 (GAS).
- 人们对TGNB未成年人的GAS潜在危害存在担忧.
- 本研究涉及TGNB未成年人的GAS发病率和术后结果.
研究的目的:
- 随着时间的推移,确定跨性别或非二进制 (TGNB) 未成年人中性别肯定手术 (GAS) 的发生率和类型.
- 评估TGNB未成年人的GAS后30天内手术后并发症的发生率.
主要方法:
- 美国外科医生学院国家外科质量改进计划 (ACS NSQIP) 儿科数据库 (2018-2021) 的回顾性审查.
- 纳入标准:年龄在17岁或以下的未成年人接受GAS.
- 评估结果:GAS的频率和类型,以及术后并发症的发生率.
主要成果:
- 108名TGNB未成年人接受了GAS,每年观察到的显著增加 (P<.001).
- 胸部男性化手术 (CMS) 是主要的手术 (94.4%).
- 没有重大并发症;轻微并发症很少发生 (2.8%为血液瘤疏散重新手术,0.9%为手术部位感染/伤口脱光).
结论:
- 未成年人,主要是CMS的性别肯定手术 (GAS) 显示出日益增长的趋势.
- 在TGNB未成年人中,胸部男性化手术 (CMS) 是一种安全的手术.
- 在TGNB未成年人中,CMS的并发症率很低.
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