腋窝入路腔镜下皮下乳房腺体切除术治疗男性乳房发育症的临床分析

Clinical analysis of transaxillary treatment of gynecomastia under endoscopy

目的探讨腋窝入路腔镜下皮下乳房腺体切除术治疗男性乳房发育症的安全性及美容效果。方法回顾性分析2020年1月至2022年1月青岛市市立医院收治的腋窝入路腔镜下皮下乳房腺体切除术19例男性患者的临床资料,总结患者的治疗情况、并发症及随访结果。结果19例患者均完成手术,单侧手术时间(1.6±0.8)h,双侧手术时间(3.3±1.1)h,出血量(10±5)ml。术后病理检查:14例为混合型,2例为脂肪型,3例为腺体型。所有病例未出现乳头乳晕坏死、皮下积液等并发症。术后随访2年,1例患者术后半年出现乳头局部凹陷,经自体脂肪组织填充后好转。结论腋窝入路腔镜下皮下乳房腺体切除术治疗男性乳房发育症安全有效,美容效果良好。

Objective To investigate the safety and cosmetic effect of gynecomastia under endoscopy through transaxilla.Method From January 2020 to January 2022,there were 19 patients analyzed retrospectively who treated under axillary endoscopic subcutaneous mastectomy in the General Surgery First Department of Qingdao Municipal Hospital,summarize the treatment,complications and follow-up results of patients.Result All 19 patients completed the operation,unilateral operation time is(1.6±0.8)h,bilateral time is(3.3±1.1)h,blood volume is(10±5)ml.The pathological examination showed that 12 cases were mixed type,2 cases were fat type and 3 cases were glandular type;there are no nipple areola necrosis and subcutaneous effusion occurred in all cases;we followed two years,one patient had local nipple depression half a year after operation,and improved after autologous adipose tissue filling.Conclusion Axillary endoscopic treatment of gynecomastia is safe and effective,and the cosmetic effect is good.