乳腺缩小的流行病学和并发症在非二进制,变性人和 cisgender 成年人
Amitai S Miller1, Maria J Escobar-Domingo2, Bernard T Lee2
1Harvard Medical School, Boston, Massachusetts; Harvard University John F. Kennedy School of Government, Cambridge, Massachusetts.
The Journal of surgical research
|August 18, 2024
概括
性别确认乳房缩小对于跨性别和非二进制患者来说是安全的,并发症率与 cisgender 个体相似. 这项研究强调了对这些程序和量身定制的护理方法的日益增长的需求.
科学领域:
- 手术成果研究的研究结果.
- 肯定性别的护理.
- 整形和重建外科手术 整形和重建手术
背景情况:
- 关于性别确认胸部手术的现有研究经常将跨性别和性别多样性 (TGD) 个人分组为组,忽视了非二进制人群的具体数据.
- 这项研究通过专门比较经过乳房缩小手术的 cisgender,跨性别和非二进制成年人手术并发症率来解决一个差距.
研究的目的:
- 评估和比较经过乳房缩小手术的 cisgender,跨性别和非二进制个体的手术并发症率.
- 评估对性别确认乳房缩小手术的安全性和日益增长的需求.
主要方法:
- 从2015年到2021年使用了国家外科质量改善计划 (NSQIP) 数据库.
- 经过缩小乳房的确定的患者 (CPT代码:19318),包括TGD和 cisgender个体.
- 采用统计分析 (ANOVA,奇平方,t测试,回归模型) 来比较不同组的并发症率.
主要成果:
- 总共有1222名患者被分析: 31.1%的cisgender,62.9%的跨性别者和6.0%的非二进制.
- 整体并发症率为3.4%,在调整混杂因子后,在 cisgender,跨性别和非二进制队伍之间没有发现统计学上显著的差异.
- 与 cisgender 和非二进制患者相比,变性患者的伤口并发症可能性较低;没有报告严重的全身并发症.
结论:
- 确认性别的乳房缩小表明日益增长的需求和在 cisgender,跨性别和非二进制人群中有利的安全概况.
- 强调需要继续研究和专业护理策略,以满足TGD个体的多样化需求.
- 强调改善获得安全有效的性别确认外科手术程序的重要性.
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