中国实用外科杂志

中国实用外科杂志

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单孔法腔镜皮下乳腺切除术治疗男性乳腺发育症临床价值分析

王子函，陈志诚，葛智成，张慧明，苑    著，高银光，高国璇，伍海锐，张忠涛，屈    翔   

  1. 首都医科大学附属北京友谊医院普外科，北京 100050
  • 出版日期:2018-11-01 发布日期:2018-11-01

  • Online:2018-11-01 Published:2018-11-01

摘要：

目的    探讨单孔法腔镜皮下腺体切除术治疗男性乳腺发育症的临床效果及价值。方法    回顾性分析2017年3月至2017年8月首都医科大学附属北京友谊医院普外科行单孔法腔镜皮下腺体切除术的男性乳腺发育的5例病人（其中单侧乳腺发育1例，双侧乳腺发育4例，共计9例次）的手术资料。对手术美容效果、手术时间、术后引流、并发症等进行评估。结果    9例次病变均成功完成单孔法腔镜皮下腺体切除术。术后6个月美容效果评分平均为15分，病人主观评价均为非常满意。均未发生乳头乳晕坏死、切口下方积液或血肿等并发症。结论    单孔法腔镜皮下腺体切除术治疗男性乳腺发育症较常规手术方式可获得更好的美容效果，值得进一步研究。

关键词: 单孔腔镜手术, 男性乳腺发育症, 皮下腺体切除术

Abstract:

Value of single-site laparoscopic subcutaneous mastectomy for gynecomastia        WANG Zi-han,CHEN Zhi-cheng,GE Zhi-cheng,et al. Department of General Surgery，Beijing Friendship Hospital，Capital Medical University，Beijing 100050，China
Corresponding author: QU Xiang, E-mail:cqx3968@sina.com
WANG Zi-han and CHEN Zhi-cheng are the first authors who contributed equally to the article
Abstract    Objective    To discuss the treatment effect in gynecomastia with single-site laparoscopic subcutaneous mastectomy. Methods    From March 2017 to August 2017，clinical data of 5 patients with gynecomastia underwent single-site laparoscopic subcutaneous mastectomy (1 patient was unilateral affected，others were bilateral, total 9 cases) in Department of General Surgery，Beijing Friendship Hospital，Capital Medical University. The aesthetic and patient satisfaction results, operative time, postoperative drainage and complications were evaluated. Results    All operations were successful. The average score of cosmetic effect was 15 after 6 months, and the subjective evaluation of the patients was very satisfactory. Subcutaneous hydrops or hematoma，papilla and areola necrosis or other complications did not occur after surgery. Conclusion    Compared with the conventional operations, single-site laparoscopic subcutaneous mastectomy for gynecomastia may be a better method for cosmetic effect which is worthy of further study.

Key words: single-site laparoscopic surgery, gynecomastia, subcutaneous mastectomy