CAJ | 학술논문

目的：探讨经乳晕小切口治疗男性乳腺发育症的治疗效果及对术后美容效果的分析，寻找治疗男性乳腺发育症的最佳治疗方法。方法：回顾性分析2011年5月至2012年5月在我院就诊的18例男性乳腺发育症的患者乳晕小切口行手术治疗的临床资料，并且对术后局部外形、切口瘢痕及乳头乳晕等情况进行术后效果的综合评价。18例采用传统手术组的患者作为对照。结果：18例男性乳腺发育症的患者术后随访6个月，手术切口瘢痕不明显，乳头、乳晕无内陷，乳头感觉无异常可正常勃起，乳头及乳晕均显示正常，术后所有患者伤口均为甲级愈合，未出现感染、皮下气肿、血肿、乳头乳晕坏死等术后并发症，手术均获得成功所有患者对手术效果表示满意。相比较于传统手术组，环乳晕手术组在术后伤口愈合时间、瘢痕宽度以及乳房外观满意度等方面均显著优于传统手术组（ P＜0．05）。结论：经乳晕小切口治疗男性乳腺发育症的手术疗效较好，术后胸部外观及功能恢复良好，患者满意率高，适合在临床推广应用。
목적：탐토경유훈소절구치료남성유선발육증적치료효과급대술후미용효과적분석，심조치료남성유선발육증적최가치료방법。방법：회고성분석2011년5월지2012년5월재아원취진적18례남성유선발육증적환자유훈소절구행수술치료적림상자료，병차대술후국부외형、절구반흔급유두유훈등정황진행술후효과적종합평개。18례채용전통수술조적환자작위대조。결과：18례남성유선발육증적환자술후수방6개월，수술절구반흔불명현，유두、유훈무내함，유두감각무이상가정상발기，유두급유훈균현시정상，술후소유환자상구균위갑급유합，미출현감염、피하기종、혈종、유두유훈배사등술후병발증，수술균획득성공소유환자대수술효과표시만의。상비교우전통수술조，배유훈수술조재술후상구유합시간、반흔관도이급유방외관만의도등방면균현저우우전통수술조（ P＜0．05）。결론：경유훈소절구치료남성유선발육증적수술료효교호，술후흉부외관급공능회복량호，환자만의솔고，괄합재림상추엄응용。
Objective:To investigate the feasibility and effect on surgery of gynaecomastia by small cir-cum-areola incision and its cosmetic effects by the purpose of finding best treatment of gynaecomastia .Meth-od:A total of 18 patients with gynaecomastia from May 2011 to May2012 treated by small circum -areola in-cision were retrospectively analyzed .The results were analyzed according to the postoperative appearance , feeling of nipple-areola complex and incision scar .18 patients with traditional surgery were selected as con-trol.Result:The operation was successfully performed in all 18 cases.Follow-up was done for 6months ,the surgical scars were obscure and the sensation of nipple or areola were good without retraction .There was no operation related complications , such as infection , subcutaneous emphysema , hematoma and all patients ex-pressed satisfaction with the surgical results .Compared to traditional surgery group patients with gynaecomas-tia got less wound healing time , appearance of scar width and better breast satisfaction .Conclusion: The small circum-areola incision in the treatment of gynaecomastia is feasible and recommendable in terms of cosmetic maintenance and safety .