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Morselization and Suction-Assistde Lipectomy for Teatmant of Gynecomastia

應用“方格化抽吸術”治療男性女乳症

摘要


男性女乳症是青春期男性常見的疾病,大部份都屬生理性的,不需任何治療,幾年後常自動消失,但少數患者會持續存在,往往造成外觀不雅和心理的不適。傳統治療男性女乳症的方法,是在乳暈下方作一切口,將乳腺組織切除,常造成胸部凹陷畸形、乳頭壞死、感覺喪失和明顯疤痕的後遺症,近年來,抽吸術被應用於男性女乳症的治療,可大大減少上述的後遺症,可是乳腺組織非常堅硬,用一般抽吸管無法輕易抽出,本文描述利用「乳腺方塊化合併抽吸法」治療女乳症,先將堅硬的乳腺組織切成約半公分大小的方塊,再利用六豪米直徑之抽吸管抽出,效果甚佳,僅少數病例發生併發症,值得推廣。

關鍵字

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並列摘要


Gynecomastia refers to abnormal hypertrophy of the male breast. Various corrective techniques have been described in the literature, but the results have often been disappointing, with a relatively high incidence of postoperative complications. In recent years, suction lipectomy has become a common adjunct in the treatment of gynecomastia. Unfortunately, suction alone fails to remove breast tissue. We describe a technique in which the breast tissue is cut into multiple small fragments, with minimal attachment to each other and to surrounding tissue. The morselized breast tissue is then aspirated with a large diameter cannula.

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