[1]禹雪屈会青张春.非吸脂法经腋窝顶部单孔腔镜皮下乳腺切除术治疗男子乳腺发育[J].中国微创外科杂志,2026,01(3):0.
　Yu Xue,Qu Huiqing,Zhang Chun..Singleport Endoscopic Subcutaneous Mastectomy via Superior Axillary Approach Without Liposuction for the Treatment of Gynecomastia[J].Chinese Journal of Minimally Invasive Surgery,2026,01(3):0.
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非吸脂法经腋窝顶部单孔腔镜皮下乳腺切除术治疗男子乳腺发育()

《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
01
期数:
2026年3期
页码:
0
栏目:
临床研究
出版日期:
2026-03-26

文章信息/Info

Title:
Singleport Endoscopic Subcutaneous Mastectomy via Superior Axillary Approach Without Liposuction for the Treatment of Gynecomastia
作者:
禹雪屈会青张春
(北京大学国际医院乳腺外科，北京102206)
Author(s):
Yu Xue;  Qu Huiqing;  Zhang Chun.
Department of Breast Surgery, Peking University International Hospital, Beijing 102206, China
关键词:
男子乳腺发育; 腔镜乳腺手术
Keywords:
Gynecomastia; Endoscopic breast surgery
文献标志码:
A
摘要:
目的评估非吸脂法经腋窝顶部单孔腔镜皮下乳腺切除术在男子乳腺发育中的应用价值。方法回顾性分析2019年4月~2025年2月73例因男子乳腺发育行非吸脂法经腋窝顶部单孔腔镜皮下乳腺切除术的资料。单侧3例，双侧70例。Simon分级Ⅰ级8例，Ⅱa级32例，Ⅱb级28例，Ⅲ级5例。患者对术后美容效果进行评分(包括乳房对称性、乳房形状、乳头情况、皮肤状况、瘢痕共5项，每项从差到非常满意评分0~3分)。结果手术时间(118.1±32.7)min，术中出血量(16.8±14.5)ml，术后留置引流管时间(4.1±2.0)d，最大单日引流量(57.9±42.0)ml。术后并发症包括切口感染2例，切口积液7例，均未发生乳头乳晕坏死。随访(26.8±18.7)月，患者对术后美容效果的评分为13~15(14.4±0.8)分，无再手术。结论非吸脂法经腋窝顶部单孔腔镜皮下乳腺切除术治疗男子乳腺发育安全、有效，瘢痕隐蔽，患者满意度高。
Abstract:
ObjectiveTo evaluate the clinical value of singleport endoscopic subcutaneous mastectomy via superior axillary approach without liposuction for the treatment of gynecomastia.MethodsWe retrospectively analyzed 73 patients with gynecomastia who underwent transaxillary singleport endoscopic subcutaneous mastectomy without liposuction between April 2019 and February 2025. Three patients underwent unilateral surgery and 70 underwent bilateral surgery. According to the Simon classification, 8 patients were grade Ⅰ, 32 grade Ⅱa, 28 grade Ⅱb, and 5 grade Ⅲ. Postoperative aesthetic outcomes were selfrated by patients using a fiveitem scale (breast symmetry, breast contour, nipple condition, skin condition, and scar), with each item scored from 0 (poor) to 3 (very satisfied).ResultsThe mean operative time was (118.1±32.7) min, the intraoperative blood loss was (16.8±14.5) ml, the duration of postoperative drainage was (4.1±2.0) d, and the maximum singleday drainage volume was (57.9±42.0) ml. Postoperative complications included incision infection in 2 cases and seroma in 7 cases. No nippleareola complex necrosis occurred. During a mean followup of (26.8±18.7) months, the postoperative aesthetic selfrating score ranged from 13 to 15, with a mean of (14.4±0.8). No further surgeries were performed.ConclusionSingleport endoscopic subcutaneous mastectomy via superior axillary approach without liposuction is a safe and effective procedure for gynecomastia, with concealed scars and high patient satisfaction.

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备注/Memo

备注/Memo:
通讯作者，Email：chunzhang11@126.com
更新日期/Last Update: 2026-03-26