男性乳腺发育症的分度与治疗

目的评价不同方法治疗男性乳腺发育症的效果。方法近3年来,根据不同的分度,采用不同的方法治疗男性乳腺发育症共42例。单侧乳房切除腺体为20～150g,抽吸脂肪总量为200～1100ml。结果手术损伤小,效果满意,胸部外形良好,乳晕瘢痕增生轻微。结论根据不同的分度,采用不同的方法治疗男性乳腺发育症,能够在完整切除乳腺腺体的同时,获得最佳的外形效果。     

浅谈男性乳房发育症证治体会

乳房是哺乳类动物和人类特有的腺体,功能和发生上属于汗腺的特殊变形。男女乳房在出生时并无明显差异,到了青春发育期,女性的乳房逐渐发育生长,若遇妊娠和哺乳还有独特的分泌功能。而男性乳房仅在青春发育期稍见增大与变硬,以后保持原样,并不随身体的发育而日见增大,也无任何分泌功能。乳房发育症,属中医“乳疬”范畴。其临床表现为一侧或两侧乳晕部发生一个半圆形肿块,形状似围棋子,质地中等或稍硬,边缘清楚,触之有轻度疼痛,常发生在青春发育期男子或老年男子。若发生于青春期,患者时有乳房变大增粗,状如妇乳,乳头可有乳汁样分泌物,声音变…     

安体舒通治疗痤疮引起男性乳房发育并误诊1例

作者曾遇到因口服安体舒通而引起男性乳房发育并误诊为乳腺肿瘤患者1例,现报告如下: 患者男,18岁,学生,因面部皮肤丘疹、脓疱2年诊断为寻常性痤疮、给予安体舒通20毫克,口服,每日3次,并外用复方硫磺洗剂治疗,1月后痤疮皮损完全消退。停药20天后,患者突然发现双乳房增大,外院曾诊断为乳房肿瘤,故患者来本院要求手术治疗。 检查     

男性乳房部血管球瘤一例

67岁男性患者,左乳头下方紫红色丘疹伴疼痛2年,激光治疗后复发1年.皮肤科情况:左乳头下方可见一0.5 cm×0.6 cm大暗红色丘疹,边界清楚,触之柔软,无搏动感,触痛明显,遇冷刺激时疼痛.皮损组织病理:真皮中部可见一瘤细胞团,外周有纤维包绕,瘤体内有较多裂隙状管腔,内衬单层扁平细长的内皮细胞,血管腔内可见少量血细胞...     

男性色素失禁症1例

1临床资料患者男,10个月,因"躯干四肢褐色沉着斑6个月"于2010年5月15日到我科就诊。患者于出生后9d发现躯干四肢在红斑基础上出现条带状及网状绿豆至黄豆大小不等水疱,疱液澄清,不易破溃,黏膜无异常。实验室检查:血常规示白细胞总数为30.97×109/L(15.0-20.0×109/L),嗜酸性     

大补阴丸对治疗单纯性乳房早发育女孩之正常青春期后续乳房发育影响的临床研究

目的:观察大补阴丸对单纯性乳房早发育女孩之正常青春期乳房发育的后续影响。方法:在儿童内分泌门诊因乳房发育来就诊的8~10岁青春期体检女童中,选择151人进入本研究,其中既往曾患有单纯性乳房发育,经口服大补阴丸治愈的性早熟女童75人作为观察组,既往无性早熟病史的正常青春期女童76人作为对照组。对比两组女童的乳腺长径、子宫、卵巢体积大小,4mm卵泡数量,血清黄体生成素(LH)、卵泡刺激素(FSH)及雌二醇(E2)的基础值。结果:观察组与对照组之间比较的数据无统计学差异(P0.05)。结论:大补阴丸治疗单纯性乳房早发育性早熟是安全的,对女童之后的正常青春期后续乳房发育无明显影响。     

腹壁脂肪抽吸术+阴茎延长术治疗肥胖阴茎短小患者的临床疗效和安全性研究

目的 探讨腹壁脂肪抽吸术+阴茎延长术治疗肥胖阴茎短小患者的临床效果,并评估其安全性.方法 选取2015年12月至2019年2月云南省昆明医科大学第二附属医院收治的58例采用腹壁脂肪抽吸术+阴茎延长术治疗的获得性阴茎短小患者作为研究对象.统计手术时间、术中出血量、术后恢复情况和并发症发生情况,比较术前术后性生活质量问卷(...     

60例男性无精子症患者睾丸活检的病理研究

目的:探讨男性无精子症患者睾丸活检的病理价值和意义。方法:回顾性分析2010年1月至2013年1月60例男性无精子症患者,对其睾丸进行活检。结果:60例睾丸活检中可分成5种类型,活检正常型占6.67%,生精细胞剥落和排列紊乱型占13.33%,生精功能低下型占18.33%,成熟障碍型占26.67%,混合损害型占35%,混合损害型和其他类型比较差异显著(P0.05);混合损害型中唯支持细胞综合征占6.67%,克氏综合征占10%,严重生精障碍占18.33%,严重生精障碍和其他类型比较差异显著(P0.05);睾丸活检组织免疫组化中IgG阳性率87.5%,IgA阳性率73.21%,IgM阳性率66.07%,IgG和IgA、IgM阳性率比较差异显著(P0.05)。结论:睾丸活检能直接评价睾丸生精功能和生精功能障碍程度,对不育症患者治疗和预后判断有重要意义,且体液自身免疫和睾丸活检有相关性。     

赛葵水蛭三仁汤治疗精液不液化症56例观察

精液不液化是导致男性不育症的常见原因之一。笔者采用清热利湿、化痰祛瘀为主，辅以滋阴润燥，用“赛葵水蛭三仁汤加减”治疗精液不液化症56例，取得良好疗效，现介绍如下。     

维参锌胶囊治疗男性特发性弱精子症的疗效和安全性观察

目的:观察维参锌胶囊治疗男性特发性少弱精子症的疗效和安全性。方法:在2016年1月至8月之间,共筛查64例患者,其中34例患者符合入组条件,平均年龄(31.09±4.18)岁。34例符合入选标准的特发性少精子症或弱精子症患者服用维参锌胶囊单一药物进行治疗3个月,每月复查1次精液常规,比较精液常规的变化和记录不良反应情况。结果:29例患者得到随访,维参锌治疗1个月后69%的患者精液参数较基线有显著改善,精子前向活力(a+b级)显著改善(P0.05);治疗3个月后精子前向活力较基线和1个月时均有显著改善,分别为(39.07±20.27)、(25.07±11.88)和(35.87±17.56),P0.05,精子密度没有显著改善。治疗期间的配偶自然怀孕率为17.2%(5/29)。结论:维参锌可以显著而持续的改善精子活力。     

Tumescent superficial liposuction with curettage for treatment of axillary bromhidrosis

Backgrounds Axillary bromhidrosis is a common but unpleasant and distressing problem faced by many societies, particularly in Asia, where malodour is reflected as a social handicap. Currently, local surgery is the treatment of choice among various non‐surgical and surgical treatment. Objectives To evaluate the clinical efficacy and safety of tumescent superficial liposuction and curettage in treating axillary bromhidrosis. Methods Forty‐three patients (25 females and 18 males, average age 24.5 years) have undergone tumescent superficial liposuction and curettage. Local anaesthesia, tumescent solution, was injected into the hair‐bearing area of the axilla. Two tiny incisions were made for Fatemi cannule, and subcutaneous tissue was removed by stroke movement under negative pressure. Subsequently, additional curettage was done around the incision sites. We evaluated the clinical efficacy (excellent, good, fair and poor) and complications. In addition, preoperative and postoperative histologic findings were reviewed in 15 patients. Results The follow‐up evaluation started 3 months after the surgery, and mean follow‐up period was 15.8 months, ranging from 3 to 54 months. Among 43 patients, 31 patients (72.1%) showed excellent to good results. The most common postoperative complication was transient ecchymosis which spontaneously regressed in 1 to 2 weeks. Focal skin necrosis, induration, and haematoma or seroma were each noted in four, three, and one patients, respectively, but resolved after proper dressing. The preoperative histological findings included increase in size and number of apocrine glands in cross‐section view, and the postoperative specimen evidently showed removal of subcutaneous tissue, including apocrine and eccrine glands, and remnant sweat glands were severely destructed. Conclusion Tumescent superficial liposuction with curettage for axillary bromhidrosis is an effective and safe treatment method for axillary bromhidrosis.     

Surgical treatment of axillary hyperhidrosis with liposuction equipment: risks and benefits

Axillary hyperhidrosis poses a serious problem to the affected patients. So far, the conservative measures employed seem to be disappointing, operations with axillary skin excision, undermining and/or skin reconstruction may cause secondary functional and cosmetic problems, whereas botulinum A toxin injections need to be repeated frequently. The aim of this study was to establish the safety, efficacy, and durability of subdermal (subcorial) suction sweat gland curettage in the treatment of axillary hyperhidrosis. So far, the method seems to be devoid of possible risks and drawbacks. In the last 4.5 years, 15 patients with axillary hyperhidrosis were operated on with the use of liposuction tools. First operations were performed in general anesthesia, then in tumescent anesthesia. The procedure of suction curettage was performed with the use of 3- to 4-mm wide liposuction cannulas. The patients were closely monitored during early stages of the healing process; then they were evaluated at 1 and 3 months, and finally at 1-4 years of the operation, when they were asked to assess the effects of the operation. Four patients had recurrence of the disease within 3 months; three of them were reoperated on, with good result. At 1-4 years of the operation, all our responders (ten of 15 patients) stated that the disease had completely subsided. The following complications were observed during the process of healing: hematomas, transient skin unevenness, and partial skin flap necrosis. In conclusion, subdermal suction curettage seems to be superior to botulinum A toxin injections by the effect durability, and to the surgical methods with skin excision and undermining by the probably lower complication rates.     

The history of dermatologic liposuction

Dermatologists have been involved in liposuction even before its introduction into the United States. Liposuction has rapidly become part of the dermatologic surgeon's armamentarium. Dermatologic surgeons have been innovators in teaching and research in liposuction. They have been largely responsible for developments in fat transfer surgery.     

The methodology of liposuction surgery

The author has attempted to analyze the physical characteristics of liposuction surgery. By categorizing liposuction surgery into various types of procedures, the dermatologic surgeon can describe and elucidate the manner of performing liposuction in each anatomic region. The procedures for fat tunneling and harvesting and cannula manipulation will aid in the teaching and understanding of liposuction surgery.     

The safety of dermatologic liposuction surgery

The safety of liposuction surgery begins with appropriate preoperative evaluation and patient selection. Operative considerations include the type of anesthesia used, the volume of fat aspirated, and the liposuction technique utilized. Results from a recent survey revealed that liposuction surgery can be extremely safe when done under local anesthesia with conservative fat removal.     

The fate of hypodermis after liposuction surgery

Liposuction surgery can be viewed as a trauma to the hypodermis. With histologic, morphometric, and autoradiographic examination and the use of tritiated thymidine, uridine, and proline, we have studied the fate of adipose tissue at various intervals after liposuction; however, we have never seen a reparative proliferation of the residual lipocytes. Moreover, the metabolic activity of adipocytes apparently is not increased. Inflammatory reaction is minimal in the early weeks, but fibrosis takes place in some lobules of the hypodermis. Our data support the view that liposuction has a long-term effect on the structure of the hypodermis, without any stimulation in the proliferative and biosynthetic activity of residual adipocytes.     

Treatment of lipomas assisted with tumescent liposuction

BACKGROUND: Lipoma is a common soft-tissue tumour of mature fat cells. Although surgical excision is effective, treatments that are less invasive and not associated with disfigurement of scar would be ideal for the treatment of lipomas. Recently, tumescent liposuction has been used for the treatment of lipomas. OBJECTIVE: To evaluate the efficacy of tumescent liposuction in lipoma treatment, we reviewed our experience of lipoma treatment by tumescent liposuction. METHODS: A total of 21 patients presenting with 31 lipomas were treated with tumescent liposuction. After liposuction, remaining stromas were removed by a haemostat through the small incision. Tumour size and post-operative complications were recorded before and after treatment. RESULTS: A total of 31 lipomas of 21 patients were treated by tumescent liposuction. The size of lipomas ranged between 1.2 and 11 cm (mean size, 4.1 cm). In 23 cases, there were no complications. However, remnant lipomas, bruise, haematoma and immediate dimpling were found as complications. CONCLUSION: Tumescent liposuctions with extracting remnant fat tissue and fibrous tissue through the opening for liposuction can be an effective treatment technique in lipoma treatment in the efficacy and cosmetic outcomes and this method can be a substitute for excision in treating large lipomas.     

Tumescent power liposuction in the treatment of the enlarged male breast

BACKGROUND: Tumescent power liposuction is widely used on various parts of the body for minimal-access lipectomy. The undesired fat deposits are injected with tumescence fluid containing saline, epinephrine, bicarbonate and lidocaine; the latter is used as the only source of pain control. The fat is then removed using vibrating microcannulas. OBJECTIVE: To evaluate the value of tumescent power liposuction in the treatment of the enlarged male breast. METHODS: 38 male patients aged 23-64 years (mean age 39.8 +/- 9.7 years) with enlarged breasts were enrolled in the study. In 32 patients, breasts were enlarged due to fat tissue, and the ductal glands were not palpable (pseudogynecomastia). In 6 patients, the ductal glands were enlarged (gynecomastia). All patients were treated with tumescent liposuction over a 2-year period using a single entry site from the axillary fossa. Both fat as well as ductal and stromal tissue were removed by microcannulas. RESULTS: None of the patients had early postoperative complications of infection, hematoma or seroma. There were no treatment-induced asymmetries, contour deformities or irregularities. No open excision or skin reduction procedures were required. CONCLUSION: Tumescent liposuction using a single entry site in the axillary fossa is a minimally invasive technique to treat enlarged male breasts. Both fat (pseudogynecomastia in adipose patients) as well as ductal and stromal tissue (in gynecomastia) can be removed with tumescent liposuction, resulting in a high level of patient satisfaction.