环乳晕小切口治疗男性乳腺发育症24例临床研究(1)
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[摘要] 目的 探讨环乳晕小切口治疗男性乳房发育症的可行性及临床疗效。 方法 在局部肿胀麻醉或合并静脉镇痛麻醉下，对24例青年男性乳房发育患者经环乳晕小切口(2 cm左右)切除皮下乳腺。 结果 24例手术均获成功。术中未出现并发症。手术时间平均47.2 min(单侧)，全组术后伤口均为甲级愈合，无感染、皮下气肿、血肿、乳头乳晕坏死等并发症，24例经6～36个月随访，胸廓平整，外观良好，切口瘢痕不明显，乳头、乳晕无内陷，乳头感觉无异常可勃起，所有患者对手术美容效果表示满意。 结论 环乳晕小切口手术治疗青年男性乳房发育症切口微小隐蔽，美容优势明显，患者生活质量提高。
[关键词] 环乳晕切口；小切口；美容；男性乳房发育症
[中图分类号] R655.8 [文献标识码] A [文章编号] 1673-7210(2012)08(a)-0054-03
24 cases of surgical observation of gynaecomastia by small circum-areola incision
HUO Yongping1 YAN Liting2 ZHANG Yingzhou1 ZHU Qingfen1 LI Fei1
1.Department of Mammary Gland Surgery, the Central Hospital of Handan City, Hebei Province, Handan 056000, China; 2.Second Department of Gynaecology, the Central Hospital of Handan City, Hebei Province, Handan 056000, China
[Abstract] Objective To investigate the feasibility and effect on surgery of gynaecomastia by small circum-areola incision. Methods The subcutaneous mammary gland tissue of 24 cases of young male gynaecomatia was resected by using small circum-areola incision about 2 mm with tumescent anesthesia (some with vein analgesia anaesthesia also). Results The operation was successfully performed in 24 patients. The mean operating time was 47.2 min (one-side). All wounds were healed in grade A, and all patients without any complication such as infection, subcutaneous emphysema, hematoma, nipple-areola necrosis. During 6 to 36 months follow-up, nomal thoracic shapes were achieved, the configuration of the breasts were well, the scars were obscure, the nipple-areola had no depression. The sensation and erection of nipples remained normal in all patients ......
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