经乳晕下切口手术治疗中重度男性乳腺发育症<br />-《中国美容医学》

文章信息/Info

Title:: Treatment of Moderate to Severe Gynecomastia by Periareolar Incision

Keywords:: Key words: gynecomastia; periareolar incision; blunt dissection; surgical operation; cosmetic effect

摘要:: [摘要]目的：探讨经乳晕下切口腺体切除术治疗中重度男性乳腺发育症的临床疗效。方法：2017年1月-2018年8月收治9例中
重度男性乳房发育患者，核磁共振检查提示主要为腺体组织，经乳晕下弧形切口，沿皮下脂肪深筋膜层与腺体层进行钝性剥
离向下至胸大肌表面，钝性掀起胸大肌表面腺体组织，从乳晕下切口完整取出腺体组织，乳晕切口对位缝合。术后随访双侧
乳头、乳晕周围皮肤血运、颜色、感觉是否异常，双侧胸廓是否平整、对称，乳晕下切口瘢痕是否明显。结果：接受手术治
疗的9例患者术后均无血肿、感染，无乳头、乳晕区皮肤缺血坏死及感觉障碍等并发症发生，切口均一期愈合。1例患者术后
双侧乳房区皮肤感觉稍差，6个月后恢复正常，双侧胸廓对称、平整，胸廓轮廓自然。结论：经乳晕下切口腺体切除术治疗
中重度男性乳腺发育症安全、有效，术后效果满意，值得临床推广。

Abstract:: Abstract: Objective To explore the clinical effect of periareolar incision mastectomy for moderate to severe gynecomastia.
Methods From January 2017 to August 2018, nine patients with moderate to severe gynecomastia were treated. The results
of magnetic resonance examination showed that the main breast was glandular tissue. along the subcutaneous fat layer of deep
fascia blunt dissection with glandular layer down to the surface of ectopectoralis, which bluntly raised the glandular tissue on
the surface of ectopectoralis. Completely took out from periareolar incision, sutured the areola incision neatly. Postoperative
follow-up included abnormal blood supply, color and sensation of bilateral nipples and periareolar skin, whether the bilateral
thorax is flat and symmetrical, and whether the scar of subareolar incision is obvious. Results Nine patients who underwent
surgery had no hematoma, and infection, without ischemic necrosis and sensory disturbance in the nipple and areola area, and
the incision healed in the first stage, uniform primary healing of all incisions. One patient had a slightly worse skin sensation in
bilateral breast area after operation, and returned to normal six months later. The bilateral thorax was symmetrical and smooth,
and the thoracic contour was natural. Conclusion Periareolar incision mastectomy for moderate to severe gynecomastia is safe
and effective, with satisfactory results after operation, which is worthy of clinical promotion.