在性别确认乳房切除术后,患者对术后排水的偏好:修改后的标准博方法
Sumeet Sekhon1, Vincent Dinh1, Nicholas Mitsakakis2
1University of Ottawa Faculty of Medicine, ON, Canada.
Plastic surgery (Oakville, Ont.)
|November 14, 2025
概括
在性别确认乳房切除术后,患者对血清瘤形成和二次手术的风险承受能力各不相同. 共享决策对于平衡患者偏好与手术风险以优化结果至关重要.
科学领域:
- 整形外科 整形外科 整形外科
- 青少年医学 青少年医学
- 确认性别的护理
背景情况:
- 在性别确认乳房切除术中,术后排水的必要性尚未得到充分证实.
- 由于缺乏共识,外科医生经常根据个人判断决定使用排水器.
- 血清瘤形成是无排水手术的潜在并发症.
研究的目的:
- 了解患者的偏好,并量化血清瘤形成和性别确认乳房切除中二次手术的风险耐受性.
- 为以患者为中心的讨论和关于排水使用的手术决策提供信息.
主要方法:
- 对正在接受或考虑进行性别确认乳房切除的青少年患者进行了调查.
- 一种修改后的标准博方法评估了患者的风险容忍度.
- 收集关于人口统计和之前手术史的数据.
主要成果:
- 招募了30名青少年参与者 (平均年龄为17.6岁).
- 血清瘤形成的中位风险承受率为15%;对于二次手术,它是10%.
- 根据之前的手术或年龄,风险容忍度没有显著差异.
结论:
- 在性别确认乳房切除术中,患者对血清瘤和二次手术的风险承受能力是可变的.
- 共同决策对于优化结果至关重要.
- 在手术规划中,平衡患者偏好与手术风险是手术规划的关键.
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