男性乳房发育症的肿胀双环单蒂缩乳术

目的 探讨男性乳房发育症肿胀双环单蒂缩乳整形术式。方法 5年来采用肿胀局麻技术、乳房双环形切口、乳头乳晕外上真皮乳腺单蒂、乳房缩小术治疗男性乳房发育症，共42例80侧乳房。方法 每侧乳房切除100－500g组织，无乳头、乳晕坏死等并发症。随访3－48个月，除乳晕切口处有轻度瘢痕增生、边缘不整齐外，余无异常，效果较为满意。结论 肿胀局麻技术下乳房双环形切口、乳头、乳晕外上真皮乳腺单蒂、乳房缩小术治疗男性乳房发育症，操作简便，安全，损伤轻，出血少，恢复快。

The double-ring, single-pedicle reduction plasty for gynecomastia

Objective To investigate a new operation of breast reduction for gynecomastia. Methods In the past 5 years we treated 42 cases (80 sites) of gynecomastia with the double ring incision, a supra lateral derma mammary pedicle of the nipple and areola and the tumescent technique. Results The tumescent anesthesia was effective. The operation was easily performed with slight injury and less bleeding. It was safe and the patients recovered quickly. 100 to 500 grams tissue was resected from one breast. There have been no severe postoperative complications, such as nipple or areola necrosis. Follow up from 3 to 48 months showed satisfactory results except that there was mild scar hypertrophy on the incision around the areola. Conclusions The new operation for gynecomastia with the double ring incision, a supra lateral derma mammary pedicle of the nipple and areola, and the tumescent anesthesia is a good, reliable and convenient technique.;