Hodgson Elaine L B, Fruhstorfer Birgit H, Malata Charles M
Department of Plastic and Reconstructive Surgery, Addenbrooke University Hospital, Cambridge University Hospital's NHS Trust, Cambridge, United Kingdom.
Plast Reconstr Surg. 2005 Aug;116(2):646-53; discussion 654-5. doi: 10.1097/01.prs.0000173441.57812.e8.
Ultrasound-assisted liposuction is a technique that is widely used all over the body for minimal access lipectomy. Recently, it has been reported to be especially suitable for the treatment of gynecomastia. To date, however, there is only one published study that specifically addresses ultrasound-assisted liposuction as a treatment modality for gynecomastia.
A review was undertaken of all the gynecomastia patients treated with ultrasound-assisted liposuction by a single surgeon over a 3-year period. Thirteen consecutive patients (aged 16 to 57 years) with bilateral, diffuse, soft to moderately firm gynecomastia were studied.
There were no early postoperative complications of hematoma, seroma, infection, or thermal injury. Similarly, there were no treatment-induced asymmetries, contour deformities, or irregularities. One patient requested "touch-up" ultrasound-assisted liposuction for "residual" breast tissue several months after an initial satisfactory correction of chest contour. None of the patients required initial open-excision or skin-reduction procedures. Patients were asked to rate their cosmetic results in four categories on linear analogue scales with a maximal score of 10. The average scores were 9.1 for overall satisfaction, 9.2 for scars, 9.2 for shape, and 8.9 for improved self confidence.
Ultrasound-assisted liposuction is an effective treatment modality in patients with homogenous soft to moderately firm gynecomastia, giving good cosmetic results and a high level of patient satisfaction.
超声辅助吸脂术是一种在全身广泛应用的微创抽脂技术。最近，有报道称该技术特别适用于男性乳房肥大症的治疗。然而，迄今为止，仅有一项已发表的研究专门探讨了超声辅助吸脂术作为男性乳房肥大症的一种治疗方式。
对一位外科医生在3年期间内用超声辅助吸脂术治疗的所有男性乳房肥大症患者进行了回顾性研究。研究了13例连续的患者（年龄16至57岁），他们患有双侧、弥漫性、质地柔软至中度坚实的男性乳房肥大症。
术后早期没有出现血肿、血清肿、感染或热损伤等并发症。同样，也没有出现因治疗导致的不对称、轮廓畸形或不平整。一名患者在胸部轮廓最初得到满意矫正数月后，因“残留”乳腺组织要求进行“补做”超声辅助吸脂术。没有患者需要进行初次开放性切除或皮肤缩减手术。要求患者用线性模拟量表对其美容效果在四个类别中进行评分，满分10分。总体满意度的平均得分为9.1分，瘢痕的平均得分为9.2分，形状的平均得分为9.2分，自我信心改善的平均得分为8.9分。
超声辅助吸脂术是治疗质地均匀、柔软至中度坚实的男性乳房肥大症患者的一种有效治疗方式，能取得良好的美容效果并获得患者的高度满意度。
