腹壁吸脂同期修整下腹部切口瘢痕  

Treatment of incisional scar of inferior belly by abdominal liposuction associated with first stage repaire

作　　者：邹升帆[1] 陈牡丹[1] 钟元春[1] 曾运泉[1] 黄敏志[1] 

机构地区：[1]广东省梅州市人民医院烧伤整形科,广东梅州514031

出　　处：《中国美容医学》2008年第5期638-639,共2页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨腹壁吸脂同期修整下腹部切口瘢痕的新方法。方法:选择下腹部切口瘢痕并腹部肥胖的病例,根据遗留瘢痕的形态设计纵行切口为上尖下宽的"火焰"形或横形切口的"新月"形,将瘢痕切除后并去除切口周围的部分皮下脂肪,同时进行注射器脂肪抽吸术,切口用可吸收线在真皮层连续缝合,术后腹带固定1～3个月。结果:施行手术共29例,术后进行随访6个月～5年,切口瘢痕成线状,腹围明显减小,效果满意。结论:腹壁吸脂同期修整下腹部切口瘢痕效果更理想。Objective To explore the new method of treatment of incisional scar of inferior belly by abdominal liposuction associated with first stage repaire. Methods After the scar and subcutaneous fat around the incision were excised , patients with incisional scar of inferior belly and abdominal fat were treated with liposuction. The flame-shaped incision with longitudinally cut or crescent-shaped incision with transsection were designed based on the shape of the scar. Finally, the incisions were sutured with absorbable sutures using continuous suture method, and fixed with abdominal bandage for 1to 3 months after operation. Results All the 29 cases have satisfactory results after followed up for 6 months to 5 years. The incisional scars were streaked and the abdominal circumference was significantly reduced. Conculsion The effect of abdominal liposuction associated with first stage repaire in treatment of incisional scar of inferior belly is Satisfaction.

关 键 词：瘢痕 切除 腹部肥胖 脂肪抽吸 

分 类 号：R622[医药卫生—整形外科]