女性术前体型参数与腰腹部吸脂量的关联分析及大容量吸脂的预测  

Association Between Preoperative Anthropometric Measurements and Liposuction Volume of Waist and Abdomen,and the Prediction of Large-volume Liposuction Among Women

作　　者：杨帆 窦文婕 李望舟 李跃军 YANG Fan;DOU Wenjie;LI Wangzhou;LI Yuejun(Department of Burns and Plastic Surgery,Tangdu Hospital,the Air Force Medical University,Xi'an 710038,Shaanxi,China;Department of Plastic Surgery,Xijing Hospital,the Air Force Medical University,Xi'an 710032,Shaanxi,China)

机构地区：[1]空军军医大学唐都医院烧伤整形科,陕西西安710038 [2]空军军医大学西京医院整形外科,陕西西安710032

出　　处：《中国美容医学》2023年第7期32-36,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探索脂肪抽吸术就医者不同体型参数与腰腹部吸脂量之间的关联,并确定大容量吸脂预测因子的截断值。方法:对2001年1月1日-2020年8月30日笔者医院行腰腹部脂肪抽吸术且符合纳入和排除标准的就医者进行回顾性分析。通过偏相关分析评估术前体型参数与脂肪抽吸量之间的关系;采用受试者工作特征(ROC)曲线探索预测大容量吸脂的最佳因子并确定其截断值。结果:本研究共纳入742例女性就医者,年龄分布在18~59岁。在所有体型参数中,腰围的偏相关系数最高且曲线下面积(AUC)最大,为0.9743,其次是腰高比和BMI。腰围的截断值为105.50 cm,BMI的截断值为27.98 kg/m^(2),两者预测大容量吸脂的准确率分别为93.26%和91.91%。结论:当腰围和BMI达到其截断值时,外科医生应注意大容量吸脂的发生,并提前做好相应的预防措施。Objective To compare the association between different anthropometric measurements and liposuction volume of waist and abdomen,and identify the cut-off values of the predictors of large-volume liposuction.Methods Patients who met the inclusion and exclusion criteria,between January 1st,2001 to August 30st,2020,were retrospectively reviewed.Partial correlation analysis was used to assess the relationship between the preoperative measurements and liposuction volume.The receiver operating characteristic(ROC)curve was used to explore the best predictors for detecting large-volume liposuction and determine the optimal cut-off values.Results A total of 742 female patients aged 18-59 years old were included in the study.Among all the anthropometric measurements,the highest correlation coefficient was observed in waist circumference.Also,waist circumference showed the highest Area under the curve(AUC)of 0.9743,followed by WHtR,BMI.With the cut-off values of 105.50 cm for WC and 27.98 kg/m^(2) for BMI,the accuracy in identifying large-volume liposuction was 93.26%for waist circumference and 91.91%for BMI,respectively.Conclusion When waist circumference and BMI hit their cut-off values,surgeons should pay attention to the occurrence of large-volume liposuction and implement preventive measures in advance.

关 键 词：脂肪抽吸术 大容量吸脂 腰围 回顾性研究 预测 

分 类 号：R622[医药卫生—整形外科]