双环法及乳头乳晕内上蒂缩乳术治疗重度男子乳腺发育  

Treatment of severe gynecomastia by double-ring supra-medialis pedicle for breast reduction

作　　者：吴玉家 常春娟 周国勇 贾赤宇 

机构地区：[1]解放军总参总医院(第309医院)整形美容烧伤修复中心,北京100091

出　　处：《中华医学美学美容杂志》2012年第5期350-352,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨双环法及乳头乳晕内上蒂缩乳术治疗重度男子乳腺发育症的效果。方法双环法设计内外环切口，并去除两环间的内上方部分表皮，形成包含真皮、乳腺及皮下组织的乳头及乳晕蒂，切除两环间其余大部分皮肤、腺体及脂肪组织后，将乳头乳晕蒂部适度内旋并与肌膜固定，外环收拢后与内环对位缝合。结果9例（18侧），除1例单侧乳头乳晕表层坏死外，其余均Ⅰ期愈合，双侧乳房对称、外形满意。结论利用双环法及乳头乳晕内上蒂缩乳术，可有效治疗重度男子乳腺发育症，内上蒂可确保乳头乳晕血运，并避免后期乳房下垂。Objective To introduce a surgical method for treatment of severe gynecomastia. Methods After designing double rings and ectomizing epidermis between two rings, a supra-medialis derma mammary pedicle of the nipple and areola was formed, most of the gland and fatty tissue was ectomized, the pedicle was fixed with the sarcolemma, and the two rings were sutured together. Re- suits There were no severe postoperative complications. Following-up of 9 cases （18 sites） for 6 to 24 months showed symmetrical and satisfactory contour. Conclusions The breast reduction with double- ring supra-medialis pedicle can be an effective procedure of severe gynecomastia, in which the supra- medialis pedicle can ensure the blood supply of nipple and areola and avoid late mastoptosis.

关 键 词：男子乳腺发育 双环法 乳房缩小术 

分 类 号：R655.8[医药卫生—外科学]