乳晕小切口治疗男性乳腺发育症20例临床研究

发布时间：2018-04-03 00:13

本文选题：男性乳腺发育症　切入点：环乳晕　出处：《山东大学》2014年硕士论文

【摘要】：研究背景男性乳房发育症(Gynaecomastia, GYN)是指男性乳房的异常增大,常由各种因素导致的人体内分泌失调继而引起男性乳腺组织异常增生、乳房脂肪组织异常增生堆积的一种常见的疾病。这些因素可为生理性也可为病理性诱。男性乳腺发育症患者近年来呈发展趋势,或与生活水平的提高,生活规律的变化有关。国外有学者报告该病的发病率占男性32%-65%。该病虽然为常见的良性疾病,但是由于患者及其家属可明显感觉其自身的形体异常或缺陷,给患者带来较大的心理压力和严重的精神负担,不少患者被发现正遭受抑郁症、焦虑症等心理问题。刘晨、栾杰等人报告表明整形外科手术可以明显的改善GYN患者的异常心理状态,纠正了患者消极的体像,提高患者自信心,恢复其正常的心理状态。近年来,越来越多的国内外研究机构对此疾病更为重视,该病的治疗也取得了较大的进展。目的探讨男性乳腺发育症的临床治疗中小切口治疗的可行性及其疗效。为今后男性乳腺发育症的临床治疗提供更为优化的治疗方式。方法回顾分析山东大学齐鲁医院整形外科近一年收治的26例男性乳腺发育症的病例,其中小切口治疗为20例。手术均局部麻醉下进行,经乳晕周围小切口(2-3cm)切开皮肤,沿乳腺表面及乳腺与胸大肌之间的间隙潜行分离腺体组织,切下乳腺组织送常规病理检查。结果全部20例手术均获得成功,术中无并发症、无输血。平均时间约45.5分钟(单侧),术后全部均为甲级愈合,切口无感染,皮肤无坏死,皮下无血肿,乳晕感觉无障碍且适当刺激可勃起,20例患者及其家属对手术效果表示满意。结论乳晕小切口治疗男性乳腺发育症具有切口较为隐蔽、瘢痕不明显、手术并发症少、术后外形改善明显、患者生活质量提高。
[Abstract]:On the background of development of male breast (Gynaecomastia, GYN) refers to the abnormal increase of male breast, often by a variety of factors leading to endocrine disorders caused by abnormal hyperplasia and male breast tissue, a common disease of breast hyperplasia of adipose tissue accumulation. These factors can be physiologic or patho induced male breast. The development of patients with a development trend in recent years, with the improvement of living standards, the change law of life. Foreign scholars report the disease incidence rate for male 32%-65%. although the disease is a benign disease is common, but because of the patients and their families can obviously feel their own body abnormalities or defects, bring greater psychological the pressure and the serious mental burden to patients, many patients were found to suffer from depression, anxiety and other psychological problems. Liu Chen, Luan Jie et al report shows that plastic surgery can Obviously improving the abnormal state of mind of GYN patients, correcting the negative body image of patients, improving their self-confidence and restoring their normal mental state. In recent years, more and more domestic and foreign research institutions pay more attention to this disease, and the treatment of this disease has made great progress.
Objective to explore the feasibility and efficacy of small incision for the treatment of gynecomastia.
Methods a retrospective analysis of Qilu Hospital of Shandong University for nearly a year from 26 cases of gynecomastia cases, including 20 cases of small incision treatment. Were performed under local anesthesia, through small incision around the areola (2-3cm) skin incision along the gap between breast and breast surface stealth and pectoral muscle separation glands. Cut breast tissue sent for routine pathological examination.
Results all 20 cases were successfully operated, no intraoperative complications, no blood transfusion. The average time of about 45.5 minutes (one side), after the operation all healed, no infection, no skin necrosis or hematoma and areola without obstacle and appropriate stimulation of erection, 20 cases of patient and family satisfaction the results of surgery.
Conclusion the treatment of gynecomastia with areola small incision has a more concealed incision, less scar, fewer operative complications, and improved postoperative appearance, and the quality of life of patients is improved.

【学位授予单位】：山东大学
【学位级别】：硕士
【学位授予年份】：2014
【分类号】：R655.8

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