磁共振成像术前检测男性乳房发育的临床意义  

Clinical significance of MRI in preoperative examination of gynecomastia

作　　者：张兆祥 王钠 马显杰 易成刚 Zhang Zhaoxiang;Wang Na;Ma Xianjie;Yi Chenggang(Institute of Plastic Surgery,Xijing Hospital,the Fourth Military Medical University,Xi'an 710032,China)

机构地区：[1]空军军医大学西京医院全军整形外科研究所,西安710032

出　　处：《中华医学美学美容杂志》2020年第1期20-23,共4页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨磁共振成像(MRI)术前检测男性乳房发育的指导意义,寻求适合男性乳房发育患者的手术方法。方法2016年11月至2018年8月,空军军医大学西京医院全军整形外科研究所对38例男性乳房发育患者(年龄18~35岁,平均23岁)术前进行MRI检查,判断患者乳房发育类型,个性化设计手术方案。结果38例患者手术均一期愈合,乳头乳晕感觉良好;无血肿、血清肿、皮肤坏死等并发症。胸部体积明显减小,外形较术前均有不同程度改善。单侧吸出脂肪及乳腺组织180~800 ml,平均480 ml。随访6~12个月,胸部无手术痕迹残留,切口瘢痕不明显,所有患者对手术效果及胸壁外形均满意。结论术前MRI可清楚显示患者乳房发育类型、脂肪和乳腺组织比例,可作为男性乳房发育的术前常规检查。Objective To explore the significance of preoperative MRI in the detection of gynecomastia before surgery.Methods From November 2016 to August 2018,we used preoperative MRI to determine surgical options to treat 38 cases of adolescent and post-adolescent patients with gynecomastia.After operation we followed up the patients for 6 months to 1 year.Results The breast had good shape,smooth chest wall,natural contour,and no complications such as hematoma,nipple and areola sensory disturbance.No surgical traces remained in the chest and no recurrence occurred during the follow-up.All patients were satisfied with the surgical effect and chest wall shape.Conclusions Preoperative MRI can clearly show the type of breast development,the proportion of fat and breast tissue,to guide the clinical personalized design of surgical procedures.It can be used as a routine preoperative examination for gynecomastia.

关 键 词：磁共振成像 男性乳房发育 手术 

分 类 号：R65[医药卫生—外科学] R44[医药卫生—临床医学]