麦默通微创旋切术治疗男性乳腺发育症的临床研究

Clinical research of Mammotome minimally invasive surgery on treatment of gynaecomastia

目的探讨麦默通（Mammotome）微创旋切手术治疗男性乳腺发育症的疗效评价和美容效果。方法回顾性分析96例双侧男性乳腺发育症的患者,实验组50例采用Mammotome手术治疗,对照组46例采用开放式手术治疗,对术后外形、切口瘢痕及乳头乳晕等方面进行术后效果的综合评价。结果术后随访6∽12个月,与开放式手术治疗男性乳腺发育症患者相比,Mammotome手术治疗切口愈合时间快,瘢痕不明显,乳头、乳晕无明显内陷,乳头感觉无异常可正常勃起,所有患者对手术效果表示满意。两组相比较,差异具有统计学意义（P〈0.05）。结论 Mammotome手术治疗男性乳腺发育症,术后胸部外观及功能等方面疗效较好,患者满意率高。

Objective To explore the curative effect and cosmetic effect of Mammotome minimally invasive surgery on the treatment of gynaecomastia. Methods Retrospective analysis on 96 cases of gynaecomastia on both sides,50 cases were treated on Mammotome minimally invasive surgery,as the treatment group,46 cases were treated on opened surgery,as the control group; To evaluate comprehensively postoperative appearance,incision scar,the nipple areola and postoperative effect. Results Mammotome surgery incision scar is not obvious,no obvious nipple and areola invagination;nipple and areola feel normal,have no erectile dysfunction,all patients were satisfied with surgery effect,compared with the opened surgery,postoperative follow- up 6 ∽ 12 months. The untoward effects were not significantly different between the two groups. Conclusion Mammotome minimally invasive surgery on the treatment of gynaecomastia,postoperative chest appearance and function have better curative effect,patients satisfaction are higher.