腹壁成形联合脂肪抽吸技术的临床应用  

Reshaping abdominal contour with a combined technique of iipectomy and liposuction

作　　者：袁继龙[1] 石杰[1] 肖明[1] 

机构地区：[1]辽宁省人民医院整形外科,辽宁沈阳110016

出　　处：《中国美容整形外科杂志》2013年第7期395-397,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的评价脂肪抽吸与腹壁整形联合术的疗效、安全性，总结降低术后并发症并改善手术效果的经验。方法肿胀麻醉后，利用负压吸引器进行腹壁深层脂肪抽吸。在耻骨联合上设计W形切口行腹壁整形术，视腹肌松弛情况进行腹直肌前鞘折叠缝合及多余皮瓣的切除。结果15例患者中，13例I期愈合，1例右下腹腹腔积液及1例切口出现小裂口，均对症治疗后好转。术后随访3～24个月，腹围较术前平均缩小15．3cm。手术效果良好，腹部形态明显改善，患者满意，无严重并发症发生。结论脂肪抽吸与腹壁整形相结合的腹壁体形重塑方法具有高效、恢复快、外形佳等优点，是一种值得推广的腹壁整形方法。Objective To evaluate the effect and safety of the method by combined liposuction and ab- dominal plastic treatment and to summarize the operative experiences. Methods The deep fat in abdominal wall suction was performed after tumescent anesthesia. A W-shape pubic incision was used above pubic sym- physis. As the abdominal muscles relaxed situation, folding suture of the anterior rectus sheath was performed, and the excess abdominal skin was excised. Results 15 patients were treated with this method. Primary wound healing was achieved in 13 patients. There was right lower quadrant ascites in 1 case and the small rip in inci- sion another, which are improved after symptomatic treatment. After a follow-up for 3-24 months, the abdominal perimeter has shrunk by 15.3 cm on average. All the patients were satisfied with the results and no serious complication occulted. Conclusion The combination of liposuction and abdominoplasty abdominal was safe ef- fective and recover fast technique for the abdominal contour reshaping and it should be recommended.

关 键 词：腹壁松弛 腹壁整形术 脂肪抽吸术 

分 类 号：R622[医药卫生—整形外科]