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微创旋切联合脂肪抽吸治疗男性乳房发育症 被引量:4

Minimally invasive surgery combined with liposuction in treatment of gynaecomastia
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摘要 目的探讨微创旋切联合脂肪抽吸治疗男性乳房发育症的临床疗效。方法 2013年8月至2015年8月我院收治28例男性乳房发育症患者,采用Encor微创旋切系统联合脂肪抽吸方法进行治疗。取腋前线4 mm切口用Encor微创旋切系统切除增生的乳腺组织,再经相同切口用负压吸引抽吸该区域内的脂肪组织,整个旋切过程在超声检测及引导下进行。术后放置负压引流管,局部加压包扎。观察并记录手术愈合情况、并发症及结局。结果 28例男性乳房发育症患者切口均达到Ⅰ期愈合且瘢痕不明显;胸部平坦、自然,无凹凸不平感;无乳头、乳晕坏死发生。结论 Encor微创旋切系统联合脂肪抽吸方法操作简单、安全、损伤小、出血少、恢复快,适用于治疗男性乳房发育症。 Objective To explore the clinical efficacy of minimally invasive surgery combined with liposuction in the treatment of gynae- comastia. Methods A total of 28 patients with gynaeeomastia in our hospital from August 2013 to August 2015 were treated by Encor mini- mally invasive system excision and liposuction. An 8-G Encor probe was advanced through a 4-mm incision positioned in the corresponding anterior axillary line to excise the glandular disc. Liposuction was performed through the same incision, all the surgery process was under ultra- sound guided. The postoperative suction drainage tube was placed and local pressure bandaging was performed. The healing, complication and result were observed and recorded. Results All of 28 patients achieved stage [ incision healing with plain, natural chest without uneven feeling nor obvious scars. All patients had no nipple and areola necrosis. Conclusion This surgical approach is simple, safe, minimally inva- sive, less bleeding and faster recovery for gynaecomastia.
出处 《局解手术学杂志》 2016年第12期890-893,共4页 Journal of Regional Anatomy and Operative Surgery
关键词 男性乳房发育 脂肪抽吸 微创旋切 临床疗效 乳腺增生 gynaecomastia liposuction Encor system in minimally invasive surgery clinical effect hyperplasia of mammary glands
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