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1、环乳晕小切口治疗男性乳腺发育症24例临床探究［摘要］目的探讨环乳晕小切口治疗男性乳房发育症的可行性及临床疗效。方法在局部肿胀麻醉或合并静脉镇痛麻醉下，对24例青年男性乳房发育患者经环乳晕小切口(2cm左右)切除皮下乳腺。结果24例手术均获成功。术中未出现并发症。手术时间平均47.2min(单侧)，全组术后伤口均为甲级愈合，无感染、皮下气肿、血肿、乳头乳晕坏死等并发症，24例经6〜36个月随访，胸廓平整，外观良好,切口瘢痕不明显，乳头、乳晕无内陷，乳头感觉无异常可勃起，所有患者对手术美容效果表示满意。结论环乳晕小切口手术治疗青年男性乳房发育症切口微小隐蔽，美容优势明显，患者生活质
2、量提高。［关键词］环乳晕切口；小切口；美容；男性乳房发育症［中图分类号］R655.8［文献标识码］A［文章编号］1673-7210(2012)08(a)-0054-0324casesofsurgicalobservationofgynaecomastiabysmallcircum-areolaincisionHUOYongpinglYANLiting2ZHANGYingzhoulZHUQingfenlLIFeil1.DepartmentofMammaryGlandSurgery,theCentralHospitalofHandanCity,HebeiProvince,Handa
3、n056000,China；2.SecondDepartmentofGynaecology,theCentralHospitalofHandanCity,HebeiProvince,Handan056000,China[Abstract]ObjectiveToinvestigatethefeasibilityandeffectonsurgeryofgynaecomastiabysmallcircum-areolaincision.MethodsThesubcutaneousmammaryglandtissueof24casesofyoungmalegynaecomatiawas
4、resectedbyusingsmallcircum-areolaincisionabout2mmwithtumescentanesthesia(somewithveinanalgesiaanaesthesiaalso)・ResuItsTheoperationwassuccessfullyperformedin24patients.Themeanoperatingtimewas47.2min(one-side)・AllwoundswerehealedingradeA,andallpatientswithoutanycomplicationsuchasinfection,subc
5、utaneousemphysema,hematoma,nipple-areolanecrosis・During6to36monthsfollow-up,nomalthoracicshapeswereachieved,theconfigurationofthebreastswerewell,thescarswereobscure,thenipple-areolahadnodepression.Thesensationanderectionofnipplesremainednormalinallpatients.Andtheyallweregreatlysatisfiedwitht
6、hecosmeticoutcomeoftheoperatiori.ConclusionTheoperationforyoungmalegynaecomastiabysmallcircun-areolaincisioniswell,theincisionissmallandconceling,thecosmeticresuItsareexcellent,whichraisesthequalityoflifeofthepatients・_Keywords］Circun-areolaincision；Micro-incision；Cosmetology；Gynaecomastia男性
7、乳房发育症(gynecomastia,GYN)又称男性乳腺增生症或男子女性型乳房，是男性最常见的乳腺疾病，文献报道占男性乳腺疾病的40%〜65%［1］,Braunstein［2］报道尸检发现率为40%〜55%o表现为男性乳腺组织异常发育肿大,伴或不伴疼痛，可暂时发生，也可为永久性［3］。近年来随着生活水平提高，生活模式转变，该病发病率和就诊率有明显升高的趋势。患者尤其是青年患者不仅要求治愈疾病本身，还要求术后获得满意的男性胸廓外形。本研究的背景就是美容外科领域日益受重视的一个概念的提出体象障
