CAJ | 학술논문

目的探讨脂肪抽吸联合乳晕切口腺体切除治疗青春期男性乳房肥大症的临床疗效.方法 43例男性乳房肥大患者,年龄14～36岁,脂肪型15例,脂肪、腺体混合型28例.均先采用肿胀麻醉乳晕小切口脂肪抽吸术,吸除大部分脂肪后,延长切口至1.0～1 5 cm,切除乳晕下及乳晕周围乳核区乳腺组织,再次通过抽吸调整过渡区的平滑整齐,术后加压包扎,7d拆线.结果术后无1例发生乳头乳晕坏死,切口瘢痕不明显.最长随访时间3年,乳房外形良好,未见复发.结论脂肪抽吸联合乳晕切口腺体切除法治疗男性乳房肥大,具有操作简易、出血少、康复快、美学效果佳等优点,值得临床推广.
목적 탐토지방추흡연합유훈절구선체절제치료청춘기남성유방비대증적림상료효.방법 43례남성유방비대환자,년령14～36세,지방형15례,지방、선체혼합형28례.균선채용종창마취유훈소절구지방추흡술,흡제대부분지방후,연장절구지1.0～1 5 cm,절제유훈하급유훈주위유핵구유선조직,재차통과추흡조정과도구적평활정제,술후가압포찰,7d탁선.결과 술후무1례발생유두유훈배사,절구반흔불명현.최장수방시간3년,유방외형량호,미견복발.결론 지방추흡연합유훈절구선체절제법치료남성유방비대,구유조작간역、출혈소、강복쾌、미학효과가등우점,치득림상추엄.
Objective To explore the clinical curative effect of combined liposuction and direction areolar incision on gynecomastia. Methods Fourty-three patients,aged 14-36 years,were involved in this study,including fat type (n=15) and mixed fat and gland type (n =28).The hypertrophic mammary tissues were incised through a small incision (1.0-1.5 cm) after the tumescent liposuction.And tumescent liposuction technique was used again to make sure of the transition-layer more smooth.The incision was in compression bandage after surgery area and stitches taken out after 7 days.Results All the patients with gynecomastia were treated.The nipple-areola complex were all alive.The scar of incision was not obvious.Follow-up was done for 3 years,showing that configuration of the breasts was good.Conclusions The surgical procedure is simply,less haemorrhage and quick recovery,with good aesthetic effects,which deserves wide application.