脂肪抽吸联合乳晕切口腺体切除治疗青春期男性乳房肥大症

Treatment of gynecomastia with a combined method of liposuction and direction areolar incision

目的探讨脂肪抽吸联合乳晕切口腺体切除治疗青春期男性乳房肥大症的临床疗效。方法43例男性乳房肥大患者，年龄14～36岁，脂肪型15例，脂肪、腺体混合型28例。均先采用肿胀麻醉乳晕小切口脂肪抽吸术，吸除大部分脂肪后，延长切口至1．0～1．5cm，切除乳晕下及乳晕周围乳核区乳腺组织，再次通过抽吸调整过渡区的平滑整齐，术后加压包扎，7d拆线。结果术后无1例发生乳头乳晕坏死，切口瘢痕不明显。最长随访时间3年，乳房外形良好，未见复发。结论脂肪抽吸联合乳晕切口腺体切除法治疗男性乳房肥大，具有操作简易、出血少、康复快、美学效果佳等优点，值得临床推广。

Objective To explore the clinical curative effect of combined liposuction and direc- tion areolar incision on gynecomastia. Methods Fourty-three patients, aged 14-36 years, were in- volved in this study, including fat type （n= 15） and mixed fat and gland type （n 28）. The hyper- trophic mammary tissues were incised through a small incision （1.0-1.5 cm） after the tumescent lipo- suction. And tumescent liposuction technique was used again to make sure of the transition-layer more smooth. The incision was in compression bandage after surgery area and stitches taken out after 7 days. Results All the patients with gynecomastia were treated. The nipple-areola complex were all alive. The scar of incision was not obvious. Follow-up was done for 3 years, showing that configura- tion of the breasts was good. Conclusions The surgical procedure is simply, less haemorrhage and quick recovery, with good aesthetic effects, which deserves wide application.