Samdal F, Kleppe G, Amland P F, Abyholm F
Department of Plastic Surgery, Norwegian National Hospital, Oslo.
Scand J Plast Reconstr Surg Hand Surg. 1994 Jun;28(2):123-30. doi: 10.3109/02844319409071189.
Since liposuction became part of our surgical regimen in 1988, we have operated on 67 patients for gynaecomastia during the five year period 1988-1992. Sixty two of the patients were seen at an extra follow up 4-59 months (means 29 months) postoperatively. Compared to studies that did not include liposuction as part of the operation, we found a lower incidence of postoperative complications and a higher degree of patient satisfaction. Preoperative distinction between adipose and glandular tissue is difficult, and we therefore consider that liposuction should be used during the first part of the operation in nearly all cases of gynaecomastia. Regardless the amount of fat, tunnelling and suction are beneficial, because they help to refine the peripheral contour and define the glandular tissue. Liposuction seems to help the skin to contract, and skin resections are rarely indicated.
自1988年吸脂术成为我们手术方案的一部分以来，在1988年至1992年的五年期间，我们为67例男性乳房肥大患者实施了手术。其中62例患者在术后4至59个月（平均29个月）进行了额外随访。与未将吸脂术作为手术一部分的研究相比，我们发现术后并发症的发生率较低，患者满意度较高。术前区分脂肪组织和腺体组织很困难，因此我们认为，几乎在所有男性乳房肥大病例的手术初期都应使用吸脂术。无论脂肪量多少，进行隧道式操作和抽吸都是有益的，因为它们有助于改善外周轮廓并明确腺体组织。吸脂术似乎有助于皮肤收缩，很少需要进行皮肤切除。
