内镜辅助下治疗男性乳房肥大疗效分析  

Endoscopic-assisted treatment of male breast hypertrophy

作　　者：陈艳 李京 Yan Chen;Jing Li(Department of Plastic Surgery,Zhongnan Hospital of Wuhan University,Wuhan,Hubei 430071,China;Wuhan Tianmei Mammary Specialized Hospital,Wuhan,Hubei 430021,China)

机构地区：[1]武汉大学中南医院整形外科,湖北武汉430071 [2]武汉天美乳腺专科医院,湖北武汉430021

出　　处：《中国现代医学杂志》2020年第3期117-120,共4页China Journal of Modern Medicine

摘　　要：目的比较内镜辅助下治疗男性乳房肥大和传统乳晕切口治疗男性乳房肥大的临床效果。方法选取2017年1月-2018年1月武汉天美乳腺专科医院就诊男性乳房肥大者170例为研究对象,均为双侧乳房肥大,其中内镜辅助下治疗87例为实验组,传统乳晕切口治疗83例为对照组。术前常规体检,标记肥大乳房区和手术切口,常规乳腺超声和钼靶检查。比较两组手术时间、术中出血量、术后并发症、患者满意度等。结果两组患者伤口均甲级愈合,实验组患者手术时间较对照组长(P<0.05);实验组在手术出血量、术后并发症发生率等方面均优于对照组患者(P<0.05)。结论内镜辅助下男性乳房肥大治疗术具有术中出血少、术后并发症少、满意度高等优点,值得临床推广。Objective To compare the clinical effects of endoscope-assisted breast hypertrophy and traditional areola incision on male breast hypertrophy.Methods From January 2017 to January 2018,170 cases of male breast hypertrophy were randomly selected as the study subjects,all of which were bilateral breast hypertrophy.87 cases of male breast hypertrophy treated by endoscope-assisted therapy were in the experimental group,and 83 cases of male breast hypertrophy treated by traditional areola incision were in the control group.Preoperative routine physical examination,marking hypertrophic breast area and surgical incision,routine breast ultrasound and molybdenum target examination were performed.The operation time,intraoperative bleeding volume,postoperative complications and patient satisfaction were compared between the two groups.Results The wounds healed in grade A in both groups.The operation time of the experimental group was longer than that of the control group(P<0.05).The clinical effect of the experimental group was better than that of the traditional areola incision group in terms of the amount of bleeding and the incidence of complications(P<0.05).Conclusion Endoscopic assisted mastectomy has the advantages of less bleeding,fewer complications and higher satisfaction,which is worthy of clinical promotion.

关 键 词：内镜 男性乳房肥大 乳晕 

分 类 号：R622[医药卫生—整形外科]