三种术式治疗男性乳房发育症临床对比分析  

Comparison of Three Surgical Treatment in the Treatment of Patients with Gynecomastia

作　　者：陈达丰[1] 周松[1] 金娥[2] 张雪惠[1] 陈月凤[1] 

机构地区：[1]中国人民解放军第175医院(厦门大学附属东南医院)普通外科,福建省漳州市363000 [2]中国人民解放军第175医院(厦门大学附属东南医院)肾内科,福建省漳州市363000

出　　处：《医学理论与实践》2016年第22期3043-3044,3047,共3页The Journal of Medical Theory and Practice

摘　　要：目的:探讨经乳晕切口切除或微创技术治疗男性乳房发育症的临床效果,优化治疗策略。方法:选取2008年5月-2014年3月临床确诊182例(301侧)男性乳房发育症患者,分别采用经乳晕切口切除(78例、128侧)、Mammotome微创旋切(50例、84侧)、腔镜下皮下腺体切除(54例、89侧),对比三种术式术中出血量、术后并发症及随访结果。结果:三组患者术中出血量、皮瓣下积液发生率、患侧感觉异常发生率、继发血肿发生率差异具有统计学意义(P<0.05或P<0.01)。三组术后乳房外形良好比例、乳头乳晕对称比例、患者满意率差异无统计学意义(P>0.05)。结论:三种术式治疗男性乳房发育症均获得良好美容疗效、患者满意度高,相比之下微创技术并未比经乳晕切口让更多患者获益,经乳晕切口无需更多技术设备支撑、适合基层应用。Objective：To explore the clinical effect of areola incision or minimally invasive techniques in the treatment of patients with gynecomastia,and improve the treatment strategies.Methods：The patients with gynecomastia（182cases,301sides）were selected from May 2008 to March 2014,which were treated respectively by the resection through areola incision surgery（78cases,128sides）,Mammotome surgery（50cases,84sides）and Endoscopic surgery（54cases,89sides）,the intraoperative bleeding,Postoperative complication rate and satisfaction rate were compared.Results：There were statistical difference in intraoperative bleeding,incidence of flap effusion,rate of ipsilateral paresthesia,incidence of secondary hematomas in three groups（P〈0.05 or P〈0.01）,there were no statistical difference in good shape of breasts,bilaterally symmetrical breast and satisfaction in three groups（P〉0.05）.Conclusion：Three surgical treatment of gynecomastia have good cosmetic effect and satisfaction,The minimally invasive techniques has not more benefit than the resection through areola incision surgery,which were carried out without additional equipment,and suitable for primary hospital.

关 键 词：乳晕切口 MAMMOTOME微创旋切 腔镜手术 男性乳房发育症 

分 类 号：R655.8[医药卫生—外科学]