胸壁轮在女性到男性性别确认手术:算法,手术技术和结果
概括
胸部男性化手术的结果表明,与免费乳头移植的双切口乳房切除相比,周围乳房切除有更高的并发症率,特别是血瘤. 进一步的研究旨在降低出血风险.
科学领域:
- 确立性别的手术.
- 整形和重建外科手术 整形和重建手术
- 外科手术的结果
背景情况:
- 胸部男性化是女性对男性性别失调症患者的主要程序.
- 胸部男性化手术技术建议缺乏普遍共识.
- 这项研究评估了带有自由乳头移植的围耳切口和双切口乳房切除技术.
研究的目的:
- 为了比较术后并发症率在周围耳和双切口乳房切除术与免费乳头移植之间.
- 为了确定与每种手术方法相关的特定并发症.
- 为了告知胸部男性化手术的最佳实践.
主要方法:
- 从2018年1月到2023年2月进行胸部男性化手术的71名患者的回顾性评估.
- 数据来自克罗伊-鲁塞大学医院的医疗记录.
- 围耳乳房切除术和双切口乳房切除术与自由乳头移植之间的并发症率的比较.
主要成果:
- 32名患者 (45%) 接受了围耳乳房切除术;39名患者 (55%) 接受了双切口乳房切除术与免费乳头移植.
- 整体上,手术后的轻微并发症在各组之间是相似的 (30%).
- 周围乳腺切除手术组的血液瘤需要重新手术的发生率明显更高 (16%对0%,P=0.015).
结论:
- 周围乳腺切除术与急性术后并发症,特别是血液瘤的发病率较高有关.
- 使用自由乳头移植的双切口乳房切除术表明,手术后出血并发症的风险较低.
- 实施静血网可能会进一步降低出血风险,并改善皮肤重塑.
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