经不同切口切除腺体治疗男性乳腺发育的疗效分析  

Analyzing of the outcomes of gynecomastia patients applied different incision to remove breast tissue

作　　者：李万同[1] 陶凯[1] 黄威[1] 王飏[1] 时杰[1] 刘晓燕[1] 

机构地区：[1]沈阳军区总医院整形外科,辽宁沈阳110016

出　　处：《中国美容整形外科杂志》2012年第11期675-677,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的观察不同人路手术治疗男性乳腺发育的效果，寻求治疗男性乳腺发育的最优方法。方法通过回顾性分析，2000年12月至2010年12月年问采用3种不同人路（A组：乳晕下缘半环切口；B组：乳晕周围双环切口；C组：乳房下皱襞切口）治疗的78例（149侧）男性乳腺发育的患者，分别根据患者对术后局部外形、切口瘢痕及乳头乳晕感觉的满意程度，对术后效果进行评价。结果本组患者中对外形不满意率5．37％。其中A组4．55％、B组6．25％、C组6．90％；对乳头乳晕感觉不满意率6．71％。其中A组5．68％、B组9．37％、C组6．90％；对术后瘢痕不满意率12．08％。其中A组6．82％、B组25．00％、C组13．79％。结论患者对术后瘢痕的不满意率最高，其次是乳头乳晕感觉，不满意率最低的是术后的外形。因此，今后手术改进的主要方向是减少术后瘢痕形成。综合评价3种方法，以采用沿乳晕下半环切口入路治疗的患者满意率最高。Abstract： Objective In order to find best treatment of gynecomastia, the outcomes of patients applied dif- ferent incision to remove breast tissue have been evaluated. Methods A retrospective study was performed on 78 patients （149 sides） who underwent surgery for gynecomastia between October of 2000 and October of 2010. According to the different incision, they are divided into 3 groups （group A：semicircular intraareolar incision, group B： double circle periareolar incision and group C ：the infra-mmmtary fold incision）. The results were analyzed according to the the postoperative appearance, feeling of nipple-areola complex and incision scar. Patient satisfaction in each group was determined from a review of comments during postoperative visits and medical photography records. Results In this patients population, the ratio of patients dissatisfactory to the postoperative appearance is 5.37% （group A is 4.55%, group B is 6.25%, and group C is 6.9% ） ;dissatisfactory to the feeling of nipple-areola complex is 6.71% （group A is 5.68% group B is 9. 37% and group C is 6.90% ） and dissatisfactory to the incision scar is 12.08% （group A ： 6.82% group B ：25.00% and group C：13.79% ）. Conclusion The high ratio of patients complains about gynecomastia is incision scar formation, next is the feeling of nippleareola complex, the low ratio of patients complains is the postoperative appearance. Compares the results against each other, we concluded that the best management of gynecomastia is a semicircular intraareolar incision mastectomy.

关 键 词：男性乳腺发育 乳晕下缘半环切口 乳晕周围双环切口 乳房下皱襞切口 

分 类 号：R655.8[医药卫生—外科学]