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男性乳房肥大症手术治疗中的生活质量

Quality of life in the surgical treatment of gynecomastia.

作者信息

Davanço Ricardo Augusto Santana, Sabino Neto Miguel, Garcia Elvio Bueno, Matsuoka Priscila Katsumi, Huijsmans Juliana Perez Rodrigues, Ferreira Lydia Masako

机构信息

Department of Plastic Surgery, Universidade Federal de São Paulo-Escola Paulista de Medicina, Rua Botucatu 862, São Paulo, SP, 04023-062, Brazil.

出版信息

Aesthetic Plast Surg. 2009 Jul;33(4):514-7. doi: 10.1007/s00266-008-9213-z. Epub 2008 Oct 25.

Abstract

BACKGROUND

Gynecomastia has an incidence of up to 60% of adolescents, causing pain and self-image disorders for the patient, leading to emotional and physical problems that can be reversed with treatment. This prospective case control study assessed the surgical treatment of gynecomastia and its impact on quality of life.

METHODS

Thirty-three patients aged 18-50 years and with 2-21 years of gynecomastia progression were included in the study. Adenectomy was performed. Preoperatively and 6 months postoperatively, patients completed the Brazilian version of the Short-Form 36 (SF-36) quality of life questionnaire.

RESULTS

There was improvement in the SF-36 domains of General Health, Functional Capacity, Social Aspects, Vitality, and Mental Health.

CONCLUSION

The Short-Form 36 questionnaire demonstrated that surgical treatment of gynecomastia afforded positive changes in quality of life.

摘要

背景

男性乳房肥大症在青少年中的发病率高达60%,给患者带来疼痛和自我形象紊乱,导致可通过治疗逆转的情绪和身体问题。这项前瞻性病例对照研究评估了男性乳房肥大症的手术治疗及其对生活质量的影响。

方法

本研究纳入了33例年龄在18至50岁之间、男性乳房肥大症病程为2至21年的患者。实施了腺体切除术。术前及术后6个月,患者完成了巴西版的36项简短健康调查问卷(SF-36)。

结果

在总体健康、功能能力、社会方面、活力和心理健康等SF-36领域均有改善。

结论

36项简短健康调查问卷表明,男性乳房肥大症的手术治疗使生活质量产生了积极变化。

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