- 期刊
The Treatment of Gynecomastia with Liposuction and/or Excision
使用脂肪抽吸術或加用切除術治療男性女乳症
摘要
男性女乳症是男性乳房最常見的病症，依Carlson，H. E., 1980所提議男性女乳症是指在男性乳暈下的組織大於2公分以上者。除了少數人併有劇烈性疼痛或壓痛外，基本上它是不需要特別的治療。大多數病人是因心理因素而尋求外科治療，籍以恢復正常人的體形。在Sahuquillo 1992年報告中指出，40%男性女乳症是有基本病因，其中的95%病因是與睪丸大小異常有關的疾病；5%病因是屬肺部腫瘤。因此，手術前理學及胸腔X-ray檢查可篩檢出病人是否需要進一步的檢查。自從脂肪抽吸術問世以後，此方法亦改變男性女乳症外科治療的分類及方法，降低傳統切除術的併發症及後遺症，提昇整容的效果。在本文的12個病例中，除病例七有多餘的皮膚及病例十有切除不足等現象，可考慮第二次手術之外，無其他併發症或後遺症。因此，在男性女乳症手術方法，脂肪抽吸術已成為基本的方法，值得推薦。
關鍵字
無資料並列摘要
Gynecomastia most often is defined simply as any visible or palpable female breast contour in a man. It is the most common breast disorder in males. These individuals are ashamed of their breast appearance and embarrassed about participating in sports especially swimming. Surgical treatment is usually requested to restore a normal body image and the liposuction has become the milestone in the treatment of gynecomastia. Twelve cases of gynecomastia were treated using liposuction alone or in combination with surgical excision from March 1992 to June 1993. The results have been good with high degree of success and low complications.