目的 探寻治疗男性乳房肥大症的良好微创手术方法.方法 对乳房进行肿胀麻醉后行乳房腺体周围脂肪抽吸,然后经微创乳晕切口切除乳房腺体.结果 采用脂肪抽吸联合微创腺体切除术治疗22例男性乳房肥大症,术后无并发症,随访6～18个月,切口瘢痕不显,外形满意.结论 肿胀麻醉下脂肪抽吸联合微创腺体切除术治疗男性乳房肥大症,手术创伤小、出血少、恢复快,是一种的理想手术方法.%Objective To explore an ideal surgical treatment for gynecomastia. Methods Liposuction under tumescent anesthesia around the breast glands and suction of fat around the glands were conducted and minimally- invasive areola incision of breast gland was done. Results Liposuction combined with micro - invasive gland resection in the treatment of 22 patients with gynecomastia was done with no postoperative complications. The follow - up of 6 to 18 months showed that incision scar was not apparent and the outlook was satisfactory. Conclusion Liposuction under tumescent anesthesia combined with minimally - invasive gland resection in the treatment of gynecomastia is an ideal surgical method with smaller wound,less bleeding,and faster recovery.
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