CAJ | 학술논문

目的介绍双环法及其在男性乳房发育治疗中的意义.方法术前站立位设计切口,确定新乳头位置,画出直径5 cm的外环,再以原乳头为中心,画出直径为2.5～3.0 cm的内环.确保双侧乳头在同一水平面上.双环间去表皮,尽量保留真皮层血管网,沿乳房皮下切除异常发育组织,双环切口对合.结果本方法治疗男性乳房发育症30例,术后乳房外形满意,乳头、乳晕血供和感觉良好,疤痕不明显,效果良好.结论对需手术治疗的男性乳房发育症,沿乳晕的双环切口既可切除肥大增生组织,又可切除多余皮肤,且切口隐蔽,操作简便,易于掌握,效果满意.
목적 개소쌍배법급기재남성유방발육치료중적의의.방법 술전참립위설계절구,학정신유두위치,화출직경5 cm적외배,재이원유두위중심,화출직경위2.5～3.0 cm적내배.학보쌍측유두재동일수평면상.쌍배간거표피,진량보류진피층혈관망,연유방피하절제이상발육조직,쌍배절구대합.결과 본방법치료남성유방발육증30례,술후유방외형만의,유두、유훈혈공화감각량호,파흔불명현,효과량호.결론 대수수술치료적남성유방발육증,연유훈적쌍배절구기가절제비대증생조직,우가절제다여피부,차절구은폐,조작간편,역우장악,효과만의.
Objective To discuss the method and significance of concentric circumareolar approach in treatment of gynecomastia.Methods The incision was designed with the patient in a standing position.The location of the new nipple was determined,around which a outer cycle with the diameter of 5 cm was marked.And then a concentric inner circle with the diameter of 2.5 -3 cm was marked around the original nipple.The bilateral nipple position should be on the same level.A rim of tissue around the nipple-areola complex( NAC )was deepithelialized,excision of excess glandular tissue was performed subcutaneously and vascular network of dermis was preserved as much as possible.The purse string suture was applied in the circumareolar incision.Results 30 patients with gynecomastia were treated with this method.The result of the operation was pleasing with good aesthetic appearance,normal blood supply,and inconspicuous scars.Conclusion As a surgical approach of gynaecomastia,concentric circumareolar incision can remove excess glandular tissues and redundant skin,and has the benefit of concealing incision,simple procedure and satisfactory outcome.