跨性别男性胸部男性化的质量:回顾性研究评估手术技术,并发症,二次纠正和趋势
Mirjam Saarinen1, Kaisu Ojala1, Maija Kolehmainen1
1Department of Plastic Surgery, Helsinki University Hospital and the University of Helsinki, Helsinki, Finland.
Transgender health
|May 1, 2025
概括
跨性别男性的胸部男性化在所有手术技术中都有类似的结果. 患者应该被告知潜在的并发症和需要进行纠正干预,特别是在公共资助的医疗保健系统.
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:
- 胸部男性化是跨性别男性性别肯定护理的关键组成部分.
- 了解手术结果,并发症和趋势对于优化患者护理至关重要.
- 之前的研究在报告并发症率和影响二次纠正的因素方面存在差异.
研究的目的:
- 审查跨性别男性胸部男性化手术的质量.
- 确定影响并发症和二次纠正的因素.
- 分析随着时间的推移,胸部男性化结果的趋势.
主要方法:
- 在赫尔辛基大学医院 (2005-2018) 接受胸部男性化治疗的220名跨性别男性的回顾性研究.
- 从患者记录中收集的数据,并发症使用Clavien-Dindo系统进行分类.
- 分析的外科手术技术包括围耳,双切口与脚部移位,以及免费的乳头移植.
主要成果:
- 通过手术治疗的并发症发生在15.4%的患者中;小并发症发生在43.8%的患者中.
- 第二次正手术是在全身麻醉下进行的24.3%和局部麻醉在37.8%.
- 在手术技术,并发症,BMI,激素治疗持续时间或吸烟与并发症/二次纠正率之间没有发现显著的关联. 年龄较大与轻微并发症有关.
结论:
- 不同的胸部男性化手术技术之间没有观察到结果的差异.
- 高的二次纠正率可能受到公共资助的医疗保健和包括局部麻醉干预措施的影响.
- 必须向患者咨询并发症的风险和需要纠正程序的可能性.
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