脂肪水肿的研究进展  

Research progress of lipoedema

作　　者：王立铨 龙笑[1] WANG Li-quan;LONG Xiao(Department of Plastic Surgery, Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100032, China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院整形外科,北京100032

出　　处：《基础医学与临床》2021年第3期438-441,共4页Basic and Clinical Medicine

基　　金：国家自然科学基金(81670444)。

摘　　要：脂肪水肿是一种罕见的疾病。该病患者多为女性,以皮下脂肪的异常沉积而导致双下肢肿大为特点。该病具有遗传倾向,也可受激素水平影响。特征性的临床表现:如疼痛、易瘀伤、“袖口征”等。需要与脂肪水肿鉴别诊断的主要疾病有淋巴水肿、肥胖、痛性肥胖症和慢性静脉疾病等。脂肪水肿的治疗包括心理健康教育、减重、保守治疗和手术治疗。目前,使用超膨胀局部麻醉和振动套管下的吸脂术作为首选的手术方案。Lipoedema is an uncommon disease disorder characterized by bilateral enlargement of the legs due to abnormal depositions of subcutaneous fat and essentially affects females.The disease has been reported with genetic tendency and can also be affected by hormone level of the host.Lipoedema has characteristic clinical manifestations,like pain,easy bruising and“cuff sign”.In clinical,main diseases considered for differential diagnosis are lymphedema,obesity,Dercum's disease and chronic venous disease.Management of lipoedema includes psychological health education,weight loss,conservative treatment and operative treatment.There are increasing reports supporting liposuction using super tumescent local anesthesia and vibrating cannulas as the preferred surgical option.

关 键 词：脂肪水肿 脂肪沉积 鉴别诊断 抽脂手术 

分 类 号：R62[医药卫生—整形外科]