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经乳晕下缘分叶切除术治疗男性乳房肥大症

Treatment of gynecomastia with lobalar mastectomy through small sabareolar incision

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【作者】 姚建民宋建良吴昕吴守成苑希玲

【Author】 Yao Jianmin;Song Jianliang;Wu Xing;et al.Hangzhou Plastic Surgery Hospital,Hangzhou(310014))

【机构】 杭州市整形医院

【摘要】 1989年5月以来,采用乳晕下缘切口入路,分叶切除乳腺腺体,治疗男性乳房肥大症。复习孔房应用解剖后,手术于乳晕下缘切口,长2~3cm,分别在乳腺腺体前包膜和腺体后疏松组织。钝性分离出整个腺体并放射状切开腺体,最后将腺体条切除。本组手术共5例7侧乳房,均为原发性男性乳房肥大症,平均切除乳腺组织50~150g,术后效果满意。原发、继发性男性乳房肥大症,一般都可采用本术式手术治疗,但对于特别巨大的乳房或乳房下垂者,仍需采用其他术式。本术式切口小,瘢痕不明显,不引起胸前整体外观比例异常,不导致患者术后心理障碍。

【Abstract】 Since May 1989,treatment of gynecomatia with lobalar mastectomy.was done throughasmall 2~3cm incisionjust beneath the areola,separation was done betwecn front capsule and posteri.or loose connective tissue ofmammary gland,then mammary gland was incised with radiation incisionsand lobules were cut ofL 5 cases were treated with this operation method,an average of 50~150g glandwas cut off.All patients obtained satisfactory reasults.Excepting too large gynecomastia ormastoptosis,all gynecomastia may be treated with this operation method.Its advantage is small incisionand the unmarked scar.

  • 【分类号】R655.8
  • 【被引频次】3
  • 【下载频次】16
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