乳晕下小切口加肿胀吸脂治疗男性乳房发育症

Semicircular periareolar incision and liposuction for treatment of gynecomastia

目的评价肿胀麻醉下通过乳晕下小切口配合脂肪抽吸治疗男性乳房发育症的手术方法的临床效果。方法对23例男性乳房发育患者,17例单纯腺体增生的患者采用乳晕下小切口切除术,6例腺体脂肪混合增生的患者采用脂肪抽吸配合腺体切除术。结果术后全部患者无乳头乳晕坏死及感觉减退,胸部平坦,外形满意,切口瘢痕隐蔽。结论根据腺体增生类型采用乳晕下小切口或配合脂肪抽吸术能完整、彻底去除肥大乳腺组织和脂肪组织;该手术方式具有出血少,损伤轻,安全,恢复快,切口瘢痕不明显,乳头乳晕无变形,疗效确切,患者满意度高等优点。

Objective To evaluate the clinical effects of the combined method of liposuction and semicircular periareolar incision for treatment of tumescent anesthesia.Methods Totally 23 patients were accepted for this study.17 patients of only gland hyperplasia were treated by semicircular periareolar incision,6 patients of gland with fat hyperplasia were treated by iposuction and semicircular periareolar incision.Results There were no nipple,mammary areola necrosis and nipple hypesthesia in all patients.After operation,the patients had flat chest,satisfied appearance.In addition,there were no clear scars in the chest of all patients.Conclusions The methods of semicircular periareolar incision or combined with method of liposuction can remove the hypertrophy mammry tissue and adipose tissue according to the type of gland hyperplasia.The method has the features of little amount of bleeding,mild damage,safe and quickly recovery.No clear scars,no morph of nipple and mammary areola were found after operation.All patients feel satisfied.