锐性吸脂针腋皱襞入路肿胀抽吸法治疗男性乳房发育症

目的:改良目前治疗男性乳房发育症的手术方法,观察其效果。方法:术前应用高频超声探头选择脂肪和乳腺组织均有增生的男性乳房发育症患者18例,以腋皱襞前端为入路,单纯应用锐性吸脂针对增大的乳房进行肿胀抽吸治疗,吸出物送病理学检查。结果:乳房胸部塑形良好,无血肿、乳头乳晕感觉障碍等并发症。胸部无手术痕迹残留。随访3～18月无复发。病理检查结果显示吸出物中有增生的乳腺组织,病理特点符合男性乳腺发育症。结论:对于脂肪和乳腺组织均有增生的男性乳房发育症,锐性吸脂针腋皱襞入路单纯肿胀抽吸术是一种可选的有效手术方法。

Tumescence tissue suction for gynecomastia with sharp cannula inserting through axillary furrow

Objective To modify the surgical technique for the treatment of gynecomastia and verify the validity of the modification. Methods 18 patients with gynecomastia were included in this study. Both excess fat and parenchymal hypertrophy were detected in all breasts by high-frequency ultrasound. Tumescence tissue suction was solely applied to treat the gynecomastia. The tip of suction cannula is sharp and the entrance of cannula is located at the axillary furrow. The aspirates were examined histologically. Results The chest contours were finely rebuilt and no complications occurred such as haematoma,nipple sensory disability. What is important is there were no scars on chests and no recurrence in 3-18 months follow-up. Aspirates included mammary gland tissue and its histological characteristic was in line with gynecomastia. Conclusion Tumescence tissue suction with sharp cannulas inserting through axillary furrow is a valid surgical technique for gynecomastia in which both excess fat and parenchymal hypertrophy are existing.