吸脂法乳房皮下腺体全切术治疗男性乳腺发育症  

Application of Keyhole-style Total Removal of the Glands for Male Gynecomastia

作　　者：戴邦武 张思东[1] 

机构地区：[1]安徽医科大学临床学院合肥市第三人民医院普通外科,合肥230022

出　　处：《中国微创外科杂志》2014年第9期827-829,共3页Chinese Journal of Minimally Invasive Surgery

摘　　要：目的：探讨吸脂法皮下腺体全切术治疗男性乳房发育症的临床价值及美容效果。方法2012年3月-2014年3月对13例男性乳房发育症行吸脂法皮下腺体全切术。在乳房肥大区域皮下脂肪层注射脂肪裂解液，乳晕旁取1．0 cm切口，采用负压吸脂，抽吸该区域内的脂肪组织，经小切口逐条切除增生肥大的乳腺组织，术毕生物胶粘合切口。结果单侧手术时间40-100 min，平均70 min；出血量20-50 ml，平均30 ml。2例皮下少量积液，其中1例局部血肿，经反复抽吸3 d后愈合。术后住院时间平均2．8 d（2-5 d）。切口隐匿，无明显瘢痕，一期愈合，无乳头、乳晕坏死，胸部曲线平坦、自然，无凹凸不平感。8例随访3个月，外形均比较满意，乳头形态正常，3例术后乳头乳晕麻木，3个月后感觉恢复正常。结论吸脂法皮下腺体全切术治疗男性乳房发育症，操作简单，安全，美容效果满意。Objective To evaluate the effects and cosmetic results of total removal of the glands for male gynecomastia . Methods A total of 13 male patients with gynaecomastia were operated by using the method of keyhole-style total removal of the glands from March 2012 to March 2013.The fat lysate was injected into the subcutaneous area of the breast enlargement .Then an incision about 1.0 cm in length was made by the side of areola , through which a vacuum aspiration was carried out to suck the fat tissues.Also, the hypertrophical breast tissues were excised gradually .Finally, the incision was closed with medical biological adhesive or absorbable suture . Results The time of unilateral operation was 40-100 min （ average , 70 min） .The amount of blood loss was 20-50 ml （average, 30 ml）.Subcutaneous effusion occurred in 2 cases （accompanying local hematoma in 1 case）, which was cured by repeated aspiration for 3 days.The postoperative hospitalization was 2-5 days （mean, 2.8 days）.All the patients were cured with incision healed by first intention and no obvious scars left .There was no necrosis on the nipple or areola .The breast curve was flat and natural .A total of 8 cases were followed up for 3 months, with satisfactory appearance .Three patients felt numbness of nipples and areola of breast after surgery and the symptom disappeared 3 months later . Conclusion Keyhole-style total removal of the glands for the male ynaecomastia has advantages of easy operation ,safety,and good cosmetic results .

关 键 词：男性乳房发育症 脂肪抽吸 腺体全切术 

分 类 号：R655.8[医药卫生—外科学]