局部尼托巴斯特可减少部分免费乳头移植损失在性别确认乳房切除:一个随机对照试验
Rachel H Park1, Jessica Pawly1, Graham Grogan2
1. Department of Plastic Surgery, Maxillofacial & Oral Health, University of Virginia.
Plastic and reconstructive surgery
|February 2, 2026
概括
局部用酸甘显著减少了部分乳头移植的损失,在经过自由乳头移植 (FNG) 的性别确认乳房切除患者中. 这种治疗没有增加整体的伤口并发症,为改善手术结果提供了一个有希望的选择.
科学领域:
- 整形外科 整形外科 整形外科
- 确认性别的护理
- 伤口治愈研究研究 伤口治愈研究
背景情况:
- 局部用酸甘有助于伤口愈合,并减少乳房切除术后的膜缩.
- 它在性别确认乳房切除术,特别是自由乳头移植 (FNG) 中的有效性尚未得到充分研究.
研究的目的:
- 为了评估局部酸甘在接受FNG (DIFNG) 双切口乳房切除术的患者中的有效性.
- 专注于移植的存活率和伤口并发症率.
主要方法:
- 成年患者接受DIFNG的随机对照试验.
- 治疗组接受了局部酸甘油;对照组接受了细素.
- 测量结果包括部分/总移植损失和伤口并发症.
主要成果:
- 在局部尼甘组显著降低部分乳头移植损失 (18.2%与36.6%相比).
- 两组之间整体伤口并发症 (血清瘤,血瘤) 没有显著差异.
- 乳头移植低颜色在非裔美国患者中更常见,但与治疗无关.
结论:
- 在DIFNG手术中,局部酸甘油的应用有效地减少了部分乳头移植损失.
- 它不会增加伤口并发症的风险,这表明有利的风险-收益概况.
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