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  • 简介:摘要目的探讨在超声引导下运用麦默通(Mammotome)微创旋切系统行保留乳头、皮下全乳腺切除治疗男性乳腺发育症的临床运用价值.方法回顾性分析2013年6月至2015年4月宿迁市人民医院乳腺外科在超声引导下运用麦默通微创旋切系统对23例男性乳腺发育症患者施行保留乳头、皮下全乳腺切除术的临床资料.对术后患者乳腺切口疤痕,乳腺外形及乳头乳晕等方面进行综合评价.结果23例手术均获成功,未出现术中并发症,手术时间30—65min,平均42min,术后未发生感染、切口裂开或愈合不佳;术后住院3—5天.随访6—15个月,患者手术部位疤痕小且隐蔽,乳头乳晕处无明显凹陷及乳头感觉异常,乳腺外形美观,所有患者对手术效果表示较满意.结论在超声引导下运用麦默通微创旋切系统治疗男性乳腺发育症,手术操作简单且较为安全,术后胸部外观及功能等方面效果较好,疤痕隐蔽不明显,患者满意率高,值得推广运用.关键词超声引导;麦默通(Mammotome)微创旋切系统;男性乳腺发育TheretrospectiveanalysisofUltrasound-guidedMammotomesystemonthenippleretaining,subcutaneousfullmastectomyforgynecomastiaShuchengGu,XiaoGqingGuan,JiWu,MuYuan,XiangxinZheng,XuXuZhang,XingQiu(DepartmentofThyroidandBreastSurgery,SuqianPeople'sHospitalaffiliatedwithNanjingGulouHospitalGroup;ShuchengGu,Male,Associatechiefphysician,MajorinThyroidandBreastSurgery.;CorrespondingauthorXiaoGqingGuan,Male,Chiefphysician,Professor,MajorinThyroid,BreastandEndocrineSurgery.)AbstractObjectiveToinvestigatetheclinicalapplicationvalueofUltrasound-guidedMammotomesystemonthenippleretaining,subcutaneousfullmasGtectomyforgynecomastia.MethodsWeretrospectivelyanalyzed23clinicaldata,fromJune2013toApril2015intheBreastSurgeryofSuqianPeople'sHospital,ofUltrasound-guidedMammotomesystemonthenippleretaining,subcutaneousfullmastectomyforgynecomastiaandcomprehensivelyevaluatedtheeffectofpostoperativescar,shapeofnipple,areolaofbreastandbreast.ResultsAllthesurgeryofthe23patientsweresuccessful.Therewasnocomplicationsduringthesurgery.Theoperatingtimelastedfor30to65minutesandtheaverageoperatingtimewas42min.Nopostoperativeinfection,wounddehiscenceorpoorhealinghappenedonthepatients.Thepostoperativehospitalstaywas3to5days.Thepatientswerefollowedupfor6to15months.Thescarofthepatients’surgicalsitesweresmallandhidden.Nosignificantdepressionofthenippleandareolaandnippleparesthesiahappened.AllthepatientsweresatisfiedwiththesurgeryoutGcome.ConclusionTheoperationofUltrasound-guidedMammotomesystemonthegynecomastiawaseasyandsafe.Aftersurgerytheshapeandfunctionofthechestwerebetterthanthoseofregularsurgery;andthescarsweresmallandhidden.Thepatient’ssatisfactionwashigh.SoitisworthpromotingtheuseofthissystemonthegynecomastiaKeywordsUltrasound-guided;Mammotomesystem;MinimallyInvasive;Gynecomastia中图分类号R655.8文献标识码A文章编号1008-6315(2015)10-037-02

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