摘要
目的探讨乳晕缘小切口吸脂联合皮下脂肪腺体组织切除术治疗脂肪型男子乳房发育的效果。方法回顾性纳入2018年1月至2022年10月河南大学第一附属医院乳腺甲状腺整形外科和上海交通大学医学院附属新华医院乳腺外科接受乳晕缘小切口吸脂联合皮下脂肪腺体组织切除术男子乳房发育患者179例,年龄18~56(35.0±8.1)岁。术后3周、3、6个月进行随访,评估治疗效果、患者满意度及并发症情况。结果179例患者手术时间26~130min,术中出血10~50ml。所有患者均顺利完成手术后2~5d出院。出现术后皮下血肿患者3例,占1.68%;乳头、乳晕麻木32例,占17.88%;皮下积液5例,占2.79%;表皮水疱7例,占3.91%。术后6个月随访,患者满意149例(91.41%)。结论男子乳房发育经乳晕缘小切口吸脂联合皮下脂肪腺体组织切除术治疗,术后美容较果较好,创伤小、并发症少、安全性较高,值得临床应用。
Objective To explore the effect of small-incision liposuction combined with subcutaneous adipose glandular tissue excision at the areolar margin for the treatment of fatty gynecomastia.Methods From January 2018 to October 2022,179 patients with gynecomastia were admitted to the Breast,Thyroid,and Plastic Surgery Department of the First Affiliated Hospital of Henan University and the Breast Surgery Department of Xinhua Hospital affiliated to Shanghai Jiaotong University School of Medicine,who underwent small incision liposuction combined with subcutaneous fat and gland tissue resection at the areolar edge,with ages ranging from 18 to 56(35.0±8.1)years.The patients were followed up at 3 weeks,3 months and 6 months after surgery to evaluate the treatment effect,patient satisfaction and complications.Results The surgical time of 179 patients ranged from 26 minutes to 130 minutes,and intraoperative bleeding ranged from 10 ml to 50 ml.All patients underwent successful surgery and were discharged within 2-5 days.Postoperative subcutaneous haematoma was found in 3 patients(1.68%),nipple areola numbness in 32 patients(17.88%),subcutaneous effusion in 5 patients(2.79%)and epidermal blisters in 7 patients(3.91%).After 6 months of follow-up,149 patients(91.41%)were satisfied.Conclusions The treatment of gynecomastia by liposuction combined with subcutaneous adipose and glandular tissue excision through a small incision at the edge of the areola is aesthetically pleasing and less traumatic,with fewer complications;it is safe and worthy of clinical application.
作者
刘晓亚
王一帆
韩宝三
师丙帅
Liu Xiaoya;Wang Yifan;Han Baosan;Shi Bingshuai(Department of Breast,Thyroid,and Plastic Surgery,the First Affiliated Hospital of Henan University,Kaifeng 475001,China;Department of Breast Surgery,Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200092,China)
出处
《中华医学美学美容杂志》
2024年第4期324-328,共5页
Chinese Journal of Medical Aesthetics and Cosmetology
基金
上海市科委科技创新行动计划专项基金(20S31904000)。
