微创旋切术治疗男性乳房发育症的可行性研究
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南京医科大学第一附属医院乳腺外科

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Feasibility study of minimally invasive surgery for gynecomastia
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    摘要:

    目的:探讨微创旋切术治疗男性乳房发育症的可行性及治疗效果。方法:回顾分析2018年6月至2020年9月在南京医科大学第一附属医院乳腺外科采用微创旋切术治疗的37例男性乳房发育症患者(共计61侧乳房)的临床资料。结果:37例患者均在全麻下顺利完成手术。每侧乳房手术时长40~125 min,平均78.0±17.6 min。术中总失血量15~200 ml,平均54.1±48.2 ml。术后3侧乳房发生出血(4.92%),2侧乳头可逆性感觉异常(3.28%),2侧乳房皮肤冗余(3.28%)。所有患者均未出现剧烈疼痛、感染、乳头坏死、碟状畸形、乳房活动度受限及二次发育等并发症。总随访时间6~12月,平均9.9±2.1月。患者满意度100%。结论:采用微创旋切术治疗男性乳房发育症是一种可行的方法,值得进一步研究和推广。

    Abstract:

    Objective: To investigate the feasibility and therapeutic effect of minimally invasive surgery in treatment of gynecomastia. Methods: 37 patients diagnosed with gynecomastia (a total of 61 breasts) treated with minimally invasive surgery in Breast Surgery Department, the First Affiliated Hospital with Nanjing Medical University from June 2018 to September 2020 were included in this retrospective study. Results: Minimally invasive surgery was successfully performed to all the 37 patients under general anesthesia. A mean operative duration of 78.0 minutes per side was required (40~125 min). The intraoperative blood loss was 15 to 200ml with the mean of 54.1ml. Three postoperative bleeding (4.92%), 2 reversible paresthesia of the nipple (3.28%), and 2 skin redundancy (3.28%) were encountered. None of the patients experienced severe pain, infection, nipple necrosis, a saucer-like deformity, limited breast mobility and recurrence. With a mean follow-up of 9.9 months (6~12 months), patient satisfaction is 100%. Conclusion: The minimally invasive surgery can be used for the treatment of gynecomastia, which may need further research and it is worthy to be promoted.

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  • 收稿日期:2021-07-08
  • 最后修改日期:2021-09-01
  • 录用日期:2021-11-15
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