[1]胡俊丰 李明 胡超 骆成玉*①.乳腔镜乳房皮下腺体切除术治疗男子乳腺发育17例[J].中国微创外科杂志,2019,01(1):15-18.
　Hu Junfeng,Li Ming,Hu Chao,et al.Mastoscopic Subcutaneous Mastectomy for Gynecomastia: Report of 17 Cases[J].Chinese Journal of Minimally Invasive Surgery,2019,01(1):15-18.
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乳腔镜乳房皮下腺体切除术治疗男子乳腺发育17例()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2019年1期
页码:
15-18
栏目:
临床研究
出版日期:
2019-01-25

文章信息/Info

Title:
Mastoscopic Subcutaneous Mastectomy for Gynecomastia: Report of 17 Cases
作者:
胡俊丰 李明 胡超 骆成玉*①
（首都医科大学附属北京潞河医院普外科，北京101100）
Author(s):
Hu Junfeng;  Li Ming;  Hu Chao;  et al.
Department of General Surgery, Beijing Luhe Hospital, Capital Medical University, Beijing 101100, China
关键词:
乳房切除术; 乳腔镜; 男子乳腺发育症
Keywords:
Mastectomy; Mastoscopy; Gynecomastia
文献标志码:
A
摘要:
目的探讨乳腔镜乳房皮下腺体切除术治疗男子乳腺发育在基层医院应用的可行性。方法2017年1月～2018年5月我科对17例男子乳腺发育行乳腔镜乳房皮下腺体切除术，通过术前设计、麻醉、 皮下肿胀、吸脂、建腔、腔镜切除腺体完成手术。结果17 例共 31 侧乳房均顺利完成乳腺腔镜皮下腺体切除,无中转开放手术。 单侧手术时间60～100 min，平均77 min;出血量30～80 ml，平均48 ml。带管引流时间3～5 d，平均4.3 d。无皮下血肿、血清肿、乳头乳晕坏死、皮瓣坏死、切口感染等并发症,切口均愈合良好。术后3个月随访，均未复发。除1例认为胸壁外形轻度不平，效果一般外，其余16例认为乳腺外形优良。满意度问卷调查：1例4分，其余16例5分，满意率100%。结论乳腔镜乳房皮下腺体切除术治疗男子乳腺发育可在有条件的基层医院开展，安全可行。
Abstract:
ObjectiveTo explore the feasibility of mastoscopic subcutaneous mastectomy in the treatment of gynecomastia in grassroots hospitals.MethodsFrom January 2017 to May 2018, 17 cases of gynecomastia underwent mastoscopic subcutaneous mastectomy. The operation was completed by preoperative design, anesthesia, subcutaneous swelling, liposuction, cavity building and endoscopic excision of glands.ResultsThe subcutaneous gland resection was successfully conducted in all the 17 cases (31 sides). There was no conversion to open surgery. The operation time for unilateral operation was 60-100 min (mean, 77 min). The blood loss was 30-80 ml (mean, 48 ml). The drainage time was 3-5 d (mean, 4.3 d). There were no major complications, including hematoma, seroma, skin or nippleareola necrosis or infection. The wound healed well. There was no recurrence after 3 months of followups. Except for one case with chest wall slightly uneven and fair effect, the remaining 16 cases considered that the chest wall was in good shape and the effect was satisfactory.ConclusionMastoscopic subcutaneous mastectomy is a safe and effective method for the treatment of gynecomastia, with few complications and good patient satisfaction, which can be promoted in grassroots hospitals.

参考文献/References:

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备注/Memo

备注/Memo:
*通讯作者，Email:luochengyu@163.com①（首都医科大学附属复兴医院乳腺微创中心，北京100038）
更新日期/Last Update: 2019-04-09