医学美学美容（中旬刊）
醫學美學美容（中旬刊）
의학미학미용（중순간）
MEDICAL AESTHETICS AND COSMETOLOGY
2015年
3期
8-8
,共1页
李旭东%赵烨德%周强%张连杰%唐乙
李旭東%趙燁德%週彊%張連傑%唐乙
리욱동%조엽덕%주강%장련걸%당을
易性病%乳头缩小%皮瓣
易性病%乳頭縮小%皮瓣
역성병%유두축소%피판
Transsexual%Nipple reduction%Flap
目的：探索双 M形皮瓣在女复男易性病患者乳头缩小的应用。方法：局部麻醉下按设计线切除乳头左右两侧组织，形成3点方向及9点方向左右两个对称的 M形皮瓣，皮瓣蒂部宽约8mm，皮瓣长约6mm，手术切除两 M形瓣之间多余的乳头组织，M形瓣对应间断缝合，形成新男性化乳头。结果：对82例女复男易性病患者实施了双 M形瓣法乳头缩小术，乳头组织瓣血运好，全部成活，新乳头大小约5mm ×4 mm，取得男性化的满意效果，无乳头坏死现象。结论：乳头双 M形瓣设计灵活、血运可靠，方法易掌握，乳头男性化外观逼真，是女复男易性病及男性乳头肥大患者行乳头缩小美容的良好选择。
目的：探索雙 M形皮瓣在女複男易性病患者乳頭縮小的應用。方法：跼部痳醉下按設計線切除乳頭左右兩側組織，形成3點方嚮及9點方嚮左右兩箇對稱的 M形皮瓣，皮瓣蒂部寬約8mm，皮瓣長約6mm，手術切除兩 M形瓣之間多餘的乳頭組織，M形瓣對應間斷縫閤，形成新男性化乳頭。結果：對82例女複男易性病患者實施瞭雙 M形瓣法乳頭縮小術，乳頭組織瓣血運好，全部成活，新乳頭大小約5mm ×4 mm，取得男性化的滿意效果，無乳頭壞死現象。結論：乳頭雙 M形瓣設計靈活、血運可靠，方法易掌握，乳頭男性化外觀逼真，是女複男易性病及男性乳頭肥大患者行乳頭縮小美容的良好選擇。
목적：탐색쌍 M형피판재녀복남역성병환자유두축소적응용。방법：국부마취하안설계선절제유두좌우량측조직，형성3점방향급9점방향좌우량개대칭적 M형피판，피판체부관약8mm，피판장약6mm，수술절제량 M형판지간다여적유두조직，M형판대응간단봉합，형성신남성화유두。결과：대82례녀복남역성병환자실시료쌍 M형판법유두축소술，유두조직판혈운호，전부성활，신유두대소약5mm ×4 mm，취득남성화적만의효과，무유두배사현상。결론：유두쌍 M형판설계령활、혈운가고，방법역장악，유두남성화외관핍진，시녀복남역성병급남성유두비대환자행유두축소미용적량호선택。
Objective To investigate the surgical treatment ef ect of double M-shaped flap which can be used to nipple virilescence of female -to -male transsexuals.Methods Two sym-metric M-shaped flaps were designed,which pedicle in the basal part of nipple from 3 point and 9 point in the direction.The flaps were 8mm in width and 6mm in length.Excised extra tissue of nipple between two flaps.New nipple were virilized through interrupted two tongue -shaped flaps.Results This technique has been successful y used to 82 patients with female -to -male transsexual.New nipple had good blood circulation and survived wel .The side of new nipple were 5mm ×4mm,and the ef ect were satisfactory without nipple necrosis.Conclusion Tongue -shaped flap is a good choice for nipple reduction of female -to -male transsexuals and male hypertrophic nipple,which has such advantages as flex design,reliable blood circulation,simple op-eration and satisfactory appearance of nipple virilescence.
