A clinical comparative study of axillary mastoscopic mastectomy and traditional areola incision in treatment of gynecomastia
10.3760/cma.j.issn.115807-20190702-00129
- VernacularTitle:乳腔镜腋窝入路与传统乳晕切口手术治疗男性乳腺发育症的临床对照研究
- Author:
Tao LIN
1
;
Mengsheng CUI
;
Junheng BAI
;
Haidong ZHAO
;
Lifeng MIAO
;
Wenwen DONG
Author Information
1. 山西省长治医学院附属和平医院乳腺科 046000
- From:
Chinese Journal of Endocrine Surgery
2020;14(2):110-114
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To compare the clinical effects of the two methods in surgical treatment of gynecomastia.Methods:The clinical data of 46 patients with gynecomastia were retrospectively analyzed, who received total removal of the glands through mastoscopic assistance (mastoscopic group) or traditional areola incision (traditional group) from Mar. 2017 to Mar. 2018. The two groups were compared in terms of blood loss, the mean operation duration, extubation time, the average hospitalization time, postoperative complications, the total cost and patients’ satisfaction at 6 month after operation. Chi-square test was used to compare the count data between groups, paired t test was used to compare the measurement data between groups, and SPSS18.0 statistical software was used for statistical analysis.Results:The operation was completed in both groups. There were no differences between the two group in age (0.473) , BMI (0.353) , lesion location (0.198) , Simon classification (0.683) , the mean blood loss ( P=0.999) , mean operation duration ( P=0.596) , extubation time ( P=0.755) , the average hospitalization time ( P=0.676) , postoperative complications and ( P=0.370) or the total cost ( P=0.486) . The difference of patients’ satisfaction at 6 month after operation had statistical significance ( P=0.012) . conclusion:Compared with traditional open surgery, mastoscopic surgery for gynecomastia is minimally invasive, beautiful and safe, which can be widely used in clinical practice.
