环乳晕小切口治疗男性乳腺发育症24例临床研究

目的探讨环乳晕小切13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（2cm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47．2min（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。

24 cases of surgical observation of gynaecomastia by small circum-areola incision

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.And they all were greatly satisfied with the cosmetic outcome of the operation.Conclusion The operation for young male gynaecomastia by small circun-areola incision is well,the incision is small and conceling,the cosmetic results are excellent,which raises the quality of life of the patients.