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乳房切除术后跨性别男性生活改善情况评估:一项使用TRANS-Q的前瞻性研究

Evaluation of Life Improvement in Trans Men After Mastectomy: A Prospective Study Using the TRANS-Q.

作者信息

Sır Emin, Tuluy Yavuz

机构信息

Plastic, Reconstructive and Aesthetic Surgery, İzmir Kavram Vocational School, Izmir, Turkey.

Department of Plastic, Reconstructive and Aesthetic Surgery, Manisa Turgutlu State Hospital, 45000, Manisa, Turkey.

出版信息

Aesthetic Plast Surg. 2022 Oct;46(5):2556-2561. doi: 10.1007/s00266-022-02907-6. Epub 2022 May 11.

Abstract

BACKGROUND

Mastectomy is the most common and sometimes the only surgery performed in FtM transgender individuals. In this study, it was aimed to evaluate the improvement in life standards of patients who underwent double incision mastectomy with free nipple-areolar complex graft and periareolar mastectomy by using TRANS-Q in trans men.

MATERIALS AND METHODS

TRANS-Q was performed in 71 trans men at the preoperative and postoperative 1st year, and the revision and complication rates in both groups were compared.

RESULTS

A statistically significant difference was observed in the postoperative satisfaction rates in both groups. We observed that the patients who underwent periareolar mastectomy had significantly higher satisfaction rates than the patients who underwent double incision mastectomy with free nipple areolar complex graft. In both groups, postoperative satisfaction rates were found to be significantly higher.

CONCLUSION

Improvement in life standards has been observed in trans men who underwent mastectomy, and late results should be evaluated with further prospective studies.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

摘要

背景

乳房切除术是男变女跨性别者最常见且有时是唯一进行的手术。本研究旨在通过使用TRANS-Q评估接受游离乳头乳晕复合体移植双切口乳房切除术和乳晕周围乳房切除术的患者的生活水平改善情况。

材料与方法

对71名男变女跨性别者在术前和术后第1年进行TRANS-Q评估,并比较两组的修复率和并发症发生率。

结果

两组术后满意度存在统计学显著差异。我们观察到,接受乳晕周围乳房切除术的患者的满意度显著高于接受游离乳头乳晕复合体移植双切口乳房切除术的患者。在两组中,术后满意度均显著更高。

结论

接受乳房切除术的男变女跨性别者的生活水平有所改善,后期结果应通过进一步的前瞻性研究进行评估。

证据等级IV:本刊要求作者为每篇文章指定证据等级。有关这些循证医学评级的完整描述,请参阅目录或作者在线指南www.springer.com/00266

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