应用脂肪抽吸术治疗巨大脂肪瘤  

Giant lipoma treated with liposuction

作　　者：宫昔愿[1] 周兴亮[1] 孙学武[1] 马继任[1] 

机构地区：[1]济南市中心医院整形外科

出　　处：《实用美容整形外科杂志》1997年第6期281-283,共3页Journal of Practical Aesthetic and Plastic Surgery

摘　　要：以往治疗巨大脂肪瘤多采用传统手术方法。皮肤切口大，瘤体周围组织剥离广泛，易造成切口皮缘部分坏死，致切口延迟愈合，并遗留长而丑陋的瘢痕，极大地影响体表皮肤外观美。为避免上述弊端，笔者应用脂肪抽吸术治疗巨大脂肪瘤３例。手术切口仅为１ｃｍ，选用内径较大的有齿吸头，采用腔隙式往复抽吸，抽吸范围扩大至距瘤体外缘１～２ｃｍ处，在确保不损伤真皮下血管网的情况下，彻底刮吸净深筋膜浅层的脂肪及瘤体组织。术后经２至９年随访，术区外观形态、皮肤色泽、弹性良好，无１例复发。因此，只要严格按操作要点手术，即可使脂肪瘤基本得以根治，又可获得良好的美容效果，不失为一种医治脂肪瘤较好的新途径。经检索，国内目前尚未见该治疗方法的报道。Giant lipoma treated with traditional surgical method had many disadvantages such as a long incision, extensive dissection around the lipoma which might cause skin necrosis, delayed healing and leaving a long ugly scar. Liposuction has been performed in 3 cases of giant lipoma to avoid the above disadvantage. Length of incision was only 1 cm. A big toothed cannula was applyed through a tunnel to suck out it 1～2cm beyond the outer edge of lipoma. The lipoma and fat tissue superficial to the deep fascia were completey sucked out but the subdermal vascular net should be preserved. 2～9 years follow-up showed that the operating areas were well shaped with excellent elastic skin and had no recurrence. The lipoma could be cured and easthetic result achieved when the operation is strictly done following the opearting principal. Treating lipoma with liposuction is a good operation method not reported be fore in China. 

关 键 词：脂肪抽吸术 脂肪瘤 有齿吸头 治疗 

分 类 号：R738.605[医药卫生—肿瘤]