肿胀麻醉技术在常规整形美容手术中的应用研究  

Application study of local tumecent technique in aesthetic and plastic surgery operation

作　　者：易阳艳[1] 胡琼华[1] 刘文阁[2] 林涛[1] 万磊[1] 袁敬东[1] 

机构地区：[1]南昌大学第二附属医院整形美容科,江西南昌330006 [2]北京黄寺美容外科医院

出　　处：《中国美容医学》2008年第6期810-812,共3页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探讨在隆乳、除皱、扩张器置入等手术中向剥离层次内注入肿胀液的方法及其临床意义。方法:在22例隆乳、15例扩张器置入、10例额颞部除皱术、25例巨痣切除手术中,向手术区注入适量肿胀液后再剥离,并与未注射肿胀液的28例类似的手术进行比较,分析其临床优势和意义。结果:在局部注射肿胀液的病例中,术中剥离时出血少,术后1～3天疼痛减轻,术后局部瘀血、红肿发生率都大为降低。结论:术中局部注射肿胀液能明显减轻术中出血、术后早期疼痛及减少术后局部瘀血红肿的发生率。Objective To explore the clinical significance of injecting the tumescent fluid into the separated space in breast augmentation,lift operation, tissue expansion,giant naevus operation. Methods In 22cases of breast augmentations by transaxillary incision, 15cases tissue expansion,10 cases forehead and temporal lift operation,25 cases giant naevus operation, some tumescent fluid was injected into the incision and submuscular or subgland space, and then separated under general anethesia. By comparison of the 28 cases without tumescent fluid,the advantages and the clinical significances of this approach were discussed. Results There were less bleeding, early allevation of pain after operation and decreased incidence of local congestion and swelling in patients with tumescent fluid. Conclusion The tumescent fluid could reduce bleeding, early pain after operation and local congestion and swelling in the breast augmentation under general anesthesia.

关 键 词：肿胀液 隆乳术 除皱 皮肤软组织扩张术 巨痣切除术 

分 类 号：R622[医药卫生—整形外科]