性别肯定性胸部整形手术：一项手术结局和患者满意度的回顾性研究。
Masculinizing chest surgery for gender affirmation: A retrospective study of outcomes and patient reported satisfaction.
机构信息
Spectrum Health, Michigan State University College of Human Medicine General Surgery Residency, 100 Michigan NE, Suite A601, Grand Rapids, MI, 49503, USA.
Spectrum Health, Michigan State University College of Human Medicine General Surgery Residency, 100 Michigan NE, Suite A601, Grand Rapids, MI, 49503, USA.
出版信息
Am J Surg. 2022 Mar;223(3):577-580. doi: 10.1016/j.amjsurg.2021.12.032. Epub 2021 Dec 29.
BACKGROUND
Masculinizing chest surgery is the most common gender-affirming surgery. The objective of our study is to report the surgical and patient reported outcomes of surgery performed by a breast surgery practice.
METHODS
Between June 1, 2017 and December 31, 2019, eighty-one patients underwent surgery at a university-affiliated hospital. This study included a retrospective chart review and an anonymous survey.
RESULTS
Seventy-five (93%) patients underwent double incision technique. Complications occurred in 25% of patients and two patients required reoperation within 30 days of surgery. The anonymous survey response rate was 47% (34/72). Patients were asked to rate their satisfaction with the cosmetic appearance and the median score was 90. Quality of life and mental health improvement was reported by most patients. Median follow up was 9 months.
CONCLUSIONS
Masculinizing chest surgery performed by surgeons trained in breast surgery had a low rate of surgical complications and positive patient reported outcomes.
背景
男性化胸部手术是最常见的性别肯定手术。我们的研究目的是报告由乳房手术实践进行的手术和患者报告的手术结果。
方法
在 2017 年 6 月 1 日至 2019 年 12 月 31 日期间，有 81 名患者在一所大学附属医院接受了手术。本研究包括回顾性图表审查和匿名调查。
结果
75 名（93％）患者接受了双切口技术。25％的患者发生了并发症，有 2 名患者在手术后 30 天内需要再次手术。匿名调查的回复率为 47％（34/72）。患者被要求对美容外观的满意度进行评分，中位数得分为 90。大多数患者报告生活质量和心理健康得到改善。中位随访时间为 9 个月。
结论
接受过乳房手术培训的外科医生进行的男性化胸部手术的手术并发症发生率低，患者报告的结果良好。
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