吸脂联合乳晕下缘弧形切口治疗男性乳房肥大症  

Liposuction combined with arc sabareolar incision to treat male gynecomastia

作　　者：张树青[1] 卢彬[1] 朱光辉[1] 

机构地区：[1]天津市口腔医院整形科,天津300041

出　　处：《中国美容医学》2015年第14期10-12,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的：总结肿胀麻醉脂肪抽吸联合乳晕下缘弧形切口腺体部分切除术治疗男性乳房肥大症的临床疗效,探寻治疗男性乳房肥大症的微创手术方法。方法：2005年1月-2014年12月,对68例136侧男性乳房肥大症患者实行了肿胀麻醉脂肪抽吸联合乳晕下弧形切口腺体部分切除术,切除增生肥大乳腺组织100~300g。结果：除2例患者出现皮下血肿,后经手术清除积血、止血、加压引流好转痊愈;全部均未发生乳头、乳晕缺血、坏死等并发症。经过6~24个月的随访,乳房外形良好,患者满意。结论：吸脂联合乳晕下缘弧形切口腺体部分切除术具有手术损伤轻、出血量少、安全性高、切口痕迹不明显、乳头乳晕无变形、恢复快、患者满意度高等优点,是目前治疗男性乳房肥大症的有效方法。： Objective To summary the clinical effect of tumescent anesthesia liposuction combined with glandular organ partial resection using arc sabareolar incision to treat male gynecomastia and explore the operation method of minimally invasive treatment of male gynecomastia. Methods From Jan 2005 to Dec 2014,68 patients with Bilateral male gynecomastia who had undergone the tumescent anesthesia liposuction combined with glandular organ partial resection using arc sabareolar incision, excision of hypertrophy mammary gland 100-300g. Results All of the patients do not have ischemia, necrosis and other complications in the nipple and areola,except for 2 patients with subcutaneous hematomawho soon recovered after removing hematocele by operation,hemostasis,drainage pressure.After 6 to 24 months follow-up visit,the shape of mammary region is good and every patient satisfies with the operation. Conclusion The tumescent anesthesia liposuction combined with glandular organ partial resection using arc sabareolar incision which has the advantage of less trauma surgery,less blood loss, high safety,mild scar,nipple and areola without deformation,quick recovery, high patient satisfaction, is an effective method for the treatment of male gynecomastia.

关 键 词：男性乳房肥大症 肿胀麻醉 吸脂术 腺体切除术 

分 类 号：R622[医药卫生—整形外科]