治疗男性乳房发育症两种不同位置环乳晕切口术式的效果比较  

Comparison of effects of surgeries through two different positions of circum-areola incision for treating gynaecomastia

作　　者：陈宇霞[1] 杨伟雄[1] 陈翔 

机构地区：[1]广东省茂名市人民医院乳腺病科,茂名525000 [2]上海市宝山区中西医结合医院普外科,上海201900

出　　处：《广西医科大学学报》2017年第7期993-995,共3页Journal of Guangxi Medical University

基　　金：上海市宝山卫生青年医学人才培养基金资助项目(No.bswsyq-2015-A10)

摘　　要：目的:比较两种环乳晕切口在治疗男性乳腺发育症(GYN)手术中的应用,寻求最佳手术切口位置。方法:选取2013年1月至2015年7月广东省茂名市人民医院收治的32例GYN患者,按环乳晕切口位置的不同将患者分为观察组(17例)和对照组(15例)。观察组采用环乳晕内侧缘弧形的手术切口,对照组采用环乳晕下缘弧形的手术切口。比较两组患者的术中出血量、术后带管时间、术后血肿发生率、乳头乳晕皮肤感觉及术后满意度。结果:两组术后均一期愈合,而且塑形效果理想。两组随访12个月内,无乳头乳晕坏死及复发现象。对照组术中出血量明显少于观察组(P<0.05)。两组术后带管时间、术后血肿发生率比较差异均无统计学意义(均P>0.05)。术后12个月,观察组痛觉、触觉缺失及乳头乳晕皮肤异常感的发生率明显低于对照组(P<0.05),且患者满意度更高(P<0.05)。结论:采用环乳晕内侧缘弧形的手术切口更能有效减少患者术后乳头乳晕感觉异常现象,是治疗GYN的一种理想术式。Objective： Compare the effect of adenoidectomy via two different circum-areola incisions to seek the best location to operate for gynaecomastia （GYN）. Methods： 32 patients diagnosed as GYN in our hospital from January 2013 to July 2015 were selected and randomly divided into an observation group （17 cases） and a control group （15 cases）. Under general anesthesia, the patients in the observation group were operated via the arc medial incision of areola, while those in the control group were operated via the arc subareolar incision. Blood loss during operation, postoperative drainage tube indwelling time, incidence of subcutaneous hematoma, skin vascularization and the feeling of the nipple-areola complex, patients＇ satisfaction after operation were compared. Results： All cases were in primary healing and with ideal shaping effect. Followed up for 12 months, no recurrence and necrosis of nipple and areola was found. The amount of bleeding in the control group was significantly less than that in the observation group （P〈0.05）. At 12 months after operation, patients in the observation group had lower occurrence rates of alganesthesia, apselaphesia, paresthesia of nipple-areola complex and better satisfaction （P〈0.05）. Conclusion： Are medial incision of areola was an ideal incision for operation on GYN patients. It could conserve the feeling of the nipple-areola complex more effectively.

关 键 词：男性乳腺发育症 环乳晕内侧缘切口 环乳晕下缘切口 比较研究 

分 类 号：R655.8[医药卫生—外科学]