探讨联合应用脂肪抽吸和小切口腺体切除治疗男性乳腺发育的临床意义

目的探讨联合应用脂肪抽吸加乳晕小切口腺体切除治疗男性乳腺发育的临床意义。方法联合应用脂肪抽吸加小切口腺体切除治疗男性乳腺发育30例,首先应用脂肪抽吸术在腺体的前后两平面将乳腺前后脂肪吸出,同时在腺体前后两层形成两个已剥离的、潜在的平面,然后通过乳晕下小切口切除腺体。结果本组单侧乳房腺体切除平均133(20~200)g,脂肪组织抽吸量平均650(250~1 000)ml,术中出血平均43(20~80)m l。乳晕切口长约2 cm,均为甲级愈合。本组均无血肿、血清肿、乳头乳晕坏死、感染等并发症发生。随访6~12个月无复发,患者均获得平整的胸廓外形,无乳头乳晕凹陷。结论脂肪抽吸加小切口腺体切除治疗男性乳腺发育,方法简单,出血少、术后胸部平整,效果理想。

Clinical Effect of Liposuction Combined with Lacteal Gland Resection via Peri-areolar Small Incision for Gynecomastia

Objective To evaluate the clinical effect of liposuction combined with lacteal gland resection via peri-areolar small incision for gynecomastia.Methods 30 gynecomastia cases were treated by liposuction combined with lacteal gland resection via peri-areolar small incision.Firstly fat tissue on the superficial and deep plane of gland was removed by liposuction,and then the gland on the two planes was resected via peri-areolar small incision.Results The unilateral resected lacteal gland was 20 to 200 g（average 133 g）,the total of suction adipose tissue was 250 to 1000 ml（average 650 ml）,and the intraoperative blood loss was 20 to 80 ml（average 43 ml）.The length of peri-areolar small incision was about 2 cm.All wounds healed in grade A in all patients without any complication such as haematoma,seroma,nipple-areola necrosis and infection.During 6 to 12 months follow-up,normal thoracic shape was achieved without nipple-areola depression,and no recurrence was found.Conclusion Liposuction combinded with lacteal gland resection via peri-areolar small incision is a simple,effective,and ideal treatment for gynecomastia with advantage as less bleeding and good esthetic results of postoperative thoracic appearance.