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 gynaecomastia 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 Ⅰ 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.
展开▼
