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[男性乳房肥大症。检查与外科治疗]

[Gynecomastia. Investigation and surgical treatment].

作者信息

Samdal F, Mjølnerød O K, Lundbom J, Halgunset J

出版信息

Tidsskr Nor Laegeforen. 1989 Oct 20;109(29):3015-8.

PMID:2588231
Abstract

Enlargement of the male breast, gynecomastia, commonly occurs in otherwise healthy men. If the gynecomastia is marked, surgical treatment may be necessary. Underlying disease must be considered. History, physical examination, laboratory tests and in some patients ultrasonography of the testes should be conducted prior to surgery. If the gynecomastia is due mainly due to fat, suction lipectomy alone is sufficient treatment. However, liposuction will not remove breast parenchyma, and some patients also require local excision of the parenchyma. In our experience, suction lipectomy provides a new means of acquiring better contour, with reduced morbidity and complications.

摘要

男性乳房增大,即男性乳腺增生,常见于其他方面健康的男性。如果男性乳腺增生较为明显,可能需要进行手术治疗。必须考虑潜在疾病。手术前应进行病史询问、体格检查、实验室检查,部分患者还应进行睾丸超声检查。如果男性乳腺增生主要是由脂肪引起的,单纯吸脂术就是足够的治疗方法。然而,吸脂术无法去除乳腺实质,有些患者还需要对实质进行局部切除。根据我们的经验,吸脂术提供了一种获得更好外形的新方法,同时降低了发病率和并发症。

相似文献

1
[Gynecomastia. Investigation and surgical treatment].[男性乳房肥大症。检查与外科治疗]
Tidsskr Nor Laegeforen. 1989 Oct 20;109(29):3015-8.
2
Management of gynaecomastia: an update.男性乳房肥大的管理:最新进展。
Int J Clin Pract. 2007 Jul;61(7):1209-15. doi: 10.1111/j.1742-1241.2006.01095.x. Epub 2007 Mar 16.
3
Gynecomastia: suction lipectomy as a contemporary solution.男性乳房肥大症:抽脂术作为一种现代解决方案。
Plast Reconstr Surg. 1987 Sep;80(3):379-86.
4
[Gynecomastia].[男性乳房肥大]
Ann Ital Chir. 1996 Jul-Aug;67(4):495-9; discussion 499-500.
5
[Gynecomastia: diagnostic and surgical approach in the treatment of 61 patients].[男性乳房肥大症:61例患者治疗中的诊断与手术方法]
Ann Ital Chir. 1999 Sep-Oct;70(5):699-702; discussion 702-3.
6
Surgical correction of gynecomastia in thin patients.薄皮型男性乳房发育症的手术矫正。
Aesthetic Plast Surg. 2011 Aug;35(4):439-45. doi: 10.1007/s00266-010-9618-3. Epub 2010 Nov 12.
7
Gynecomastia: analysis of 159 patients and current recommendations for treatment.男性乳房肥大症:159例患者分析及当前治疗建议
Plast Reconstr Surg. 1987 May;79(5):740-53. doi: 10.1097/00006534-198705000-00010.
8
[Surgical treatment of gynecomastia. Indications and methods].[男性乳房肥大症的外科治疗。适应症与方法]
Minerva Chir. 1993 Jul;48(13-14):743-7.
9
Combined use of ultrasonic-assisted liposuction and semicircular periareolar incision for the treatment of gynecomastia.超声辅助吸脂术联合乳晕周围半圆形切口治疗男性乳腺增生症
Ann Plast Surg. 2007 Dec;59(6):629-34. doi: 10.1097/SAP.0b013e318038f762.
10
[A modified technique of liposuction with excision for gynecomastia].[一种改良的吸脂联合切除术治疗男性乳腺增生症的技术]
Zhonghua Yi Xue Za Zhi. 2007 Nov 20;87(43):3082-4.

引用本文的文献

1
Suction-assisted lipectomy does not increase the risk of random flap necrosis in a randomized study in pigs.
Aesthetic Plast Surg. 1995 Nov-Dec;19(6):549-53. doi: 10.1007/BF00454320.
2
Blood loss during liposuction using the tumescent technique.采用肿胀技术进行抽脂时的失血情况。
Aesthetic Plast Surg. 1994 Spring;18(2):157-60. doi: 10.1007/BF00454476.
3
Effect of large-volume liposuction on sex hormones and glucose- and lipid metabolism in females.
Aesthetic Plast Surg. 1995 Mar-Apr;19(2):131-5. doi: 10.1007/BF00450248.