超声引导下微创旋切术治疗男性乳房肥大症  

Ultrasound-guided minimally invasive stereotactic breast excision for idiopathic gynecomastia

作　　者：郇金亮[1] 王强[2] 叶来英[2] 蔡清萍[2] 阮灿平[2] 马旺扣[1] 

机构地区：[1]上海市第八人民医院普外科 [2]第二军医大学附属长征医院普外科,上海200003

出　　处：《中国微创外科杂志》2005年第9期764-765,共2页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的探讨B超引导下Mammotome微创旋切系统在男性乳房肥大症微创手术中的应用价值.方法B超引导下利用Mammotome对10例17处男性乳房肥大症行微创旋切切除术.结果乳房肿块均被Mammotome微创旋切切除,每处平均旋切28次(25～47次).手术时间15～40 min,平均30 min.皮肤切口仅3～4 mm,术后1周2例出现轻度皮下瘀斑,1例出现局部小血肿.10例随访6～8周,临床及B超复查均无异常.结论B超引导下Mammotome微创旋切系统行男性乳房肥大症切除术,操作简易,创伤小,切除彻底,值得临床推广.Objective To evaluate the clinical application of ultrasound-guided minimally invasive stereotactic breast excision using the Mammotome system in the treatment of idiopathic gynecomastia. Methods Minimally invasive stereotactic excision using the Mammotome system under the guidance of B-ultrasonography was performed in 10 patients with idiopathic gynecomastia （ 17 lesions）. Results All the 17 lesions were completely removed, with a mean of 28 times （25-47） of excision per lesion, The operative time was 15-40 min （ mean, 30 min）. The length of incision was only 3-4 mm. Slight subcutaneous ecchymosis and local hematoma were noted in 2 patients and 1 patient 1 week after operation, respectively. Clinical and B-ultrasonic examinations revealed normal findings in the 10 patients on the follow-up for 6-8 weeks. Conclusions B-ultrasound guided minimally invasive stereotactic breast excision using the Mammotome system is a simple, mini-invasive and radical technique for the treatment of gynecomastia, which is worthy of being recommended.

关 键 词：乳房肥大症 超声 Mammotome操作系统 

分 类 号：R655.8[医药卫生—外科学]