改良臂部吸脂术式的临床应用及效果观察  

Clinical application and observation of an improved upper limb liposuction

作　　者：顾云鹏 陈威威 孙雪健 庄强 吕倩雯 齐越 陈昊东 马桂娥 祁佐良 Gu Yunpeng;Chen Weiwei;Sun Xuejian;Zhuang Qiang;Lyu Qianwen;Qi Yue;Chen Haodong;Ma Guie;Qi Zuoliang(Body Sculpture and Liposuction Center,Plastic Surgery Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100144,China)

机构地区：[1]中国医学科学院北京协和医学院整形外科医院体型雕塑吸脂中心,100144

出　　处：《中华整形外科杂志》2019年第8期731-735,共5页Chinese Journal of Plastic Surgery

摘　　要：目的提出一种扩展至全上肢的脂肪抽吸术即动态臂部环形脂肪抽吸术,并初步评估该术式的临床效果。方法对2018年2月至2019年2月整形外科医院进行动态臂部环形脂肪抽吸术的34例患者临床资料进行回顾性总结,患者在镇静仰卧位下实施了上臂环周或上臂环周+前臂近侧1/3环周或全臂环周吸脂术,并结合副乳、腋下、肩胛等多个邻近美学部位的扩大吸脂术。通过对比术前和术后照片,测量上臂最大周径、松垂度以及皮下组织厚度,初步评估临床效果;检测术后血红蛋白浓度分析并发症情况;通过满意度调查问卷评估患者术后满意度。结果所有患者术后臂部形态发生显著改善,臂部最大周径缩小(16.2±4.0)%,上臂松垂距离减少(29.5±8.9)%,后侧皮下组织厚度缩小(56.6±6.2)%,前侧皮下组织厚度缩小(44.7±9.6)%。3例术后轻度贫血,其余均未出现神经、血管损伤及其他严重并发症,患者满意度高。结论动态臂部环形脂肪抽吸术针眼隐蔽,改善效果显著,满意度高。Objective To describe an extended whole upper limb liposuction technique and evaluate its clinical effect.Methods 34 patients who underwent upper limb liposuction from February 2018 to February 2019 were selected and the clinical data were retrospectively summarized.Patients were treated with upper arm ring/upper arm ring+forearm 1/3 rings/whole arm ring aspiration combined with accessory mammary gland,armpit,scapula and other adjacent aesthetic parts of extended liposuction.The preoperative and postoperative maximum circumference,thickness of the anterior and posterior subcutaneous tissue and skin laxity were measured and compared.analysis of complications,and evaluation of patients′satisfaction through satisfaction questionnaire.Results The arm shape of all patients was significantly improved,the maximum circumference of the arm was reduced(16.2±4.0)%,the distance of the upper arm was reduced(29.5±8.9)%,the thickness of the posterior subcutaneous tissue was reduced(56.6±6.2)%,and the thickness of the anterior subcutaneous tissue was reduced(44.7±9.6)%.There were three cases of mild anemia after operation,and no other serious complications occurred.Patient satisfaction was very high.Conclusions This is an innovative arm liposuction technique with hidden incision.The effect of improvement is remarkable.The patient′s satisfaction is high.

关 键 词：臂部塑形 脂肪抽吸术 

分 类 号：R47[医药卫生—护理学]