[摘要]目的：探究经腋窝腔镜辅助切除术治疗男性乳腺发育症的效果。方法：选取2018年1月-2021年1月于笔者医院接受经腋窝腔镜辅助切除术的72例男性乳腺发育症患者为研究对象，观察分析患者围术期指标、疼痛情况[视觉模拟评分法(VAS)]、乳房外观、心理状况[症状自评量表(Symptom check list-90，SCL-90)]以及并发症。结果：本组72例患者，手术时间42～80 min，平均(60.57±5.24)min；切口长度0.5～5 cm，平均(3.15±1.02)cm；住院时间2～4.5 d，平均(3.77±0.21)d；失血量5～28 ml，平均(15.48±3.43)ml；切口愈合时间4～9 d，平均(6.27±1.33)d。患者术后3个月的SCL-90评分显著低于术前(P<0.05)，术后乳房外观优良率达87.50%(63/72)，术后无皮肤坏死病例，但出现1例皮下出血、1例血肿、2例切口感染，总并发症发生率为5.56%(4/72)。结论：经腋窝腔镜辅助切除术治疗男性乳腺发育症疗效好，并发症少，能显著改善患者乳房外观和心理状态。

    [关键词]男性乳腺发育症；腋窝；腔镜；切除；乳房外观

    [中图分类号]R622" " [文献标志码]A" " [文章编号]1008-6455(2024)07-0112-03

    Observation on Effect of Transaxillary Endoscopic Assisted Resection in the Treatment of Gynecomastia

    HOU Xinming， WANG Chunfeng， GUO Feng

    ( Department of Thyroid and Breast Surgery， the Second People's Hospital of Liaocheng， Liaocheng 252600， Shandong， China )

    Abstract： Objective" To explore the effect of transaxillary endoscopic assisted resection in the treatment of gynecomastia. Methods" A total of 72 patients with gynecomastia who underwent axillary endoscopic assisted resection in author's hospital from January 2018 to January 2021 were selected as the research objects. The perioperative indicators ......