大腿皮下脂肪客观精准评估模型的建立及其在脂肪抽吸术中的应用  

Establishment of an Objective and Accurate Evaluation Model of Thigh Subcutaneous Fat and Its Application in Liposuction

作　　者：高华晨 杨琴 杨帆 李望舟 李靖 李跃军 GAO Huachen;YANG Qin;YANG Fan;LI Wangzhou;LI Jing;LI Yuejun(Department of Burn and Plastic Surgery,the Second Affi liated Hospital of Air Force Medical University,Xi'an 710038,Shaanxi,China;Department of Pathology,First Affi liated Hospital of the Army Medical University,Chongqing 400038,China)

机构地区：[1]空军军医大学第二附属医院烧伤整形科,陕西西安710038 [2]陆军军医大学第一附属医院病理科,重庆400038

出　　处：《中国美容医学》2024年第6期1-5,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:用医学影像软件处理大腿CT断层扫描数据,建立精准评估就医者大腿皮下脂肪组织量化分布的三维模型,为脂肪抽吸大腿塑形提供术前评估及术后效果评价的客观方法。方法:选取接受双侧大腿脂肪抽吸术的就医者24例,将其术前及术后大腿CT扫描数据以DICOM格式导入Mimics软件,利用软件的图像编辑及测量功能进行建模和测量。结果:成功构建大腿皮下脂肪组织三维立体数字化模型,能从不同视角观察大腿的匀称度和美观度,并可分别获得大腿皮下脂肪组织总体积及各亚单元部位脂肪分布特点;能直观找出重点部位的关键平面,进行关键平面的大腿围度测量及不同点位脂肪厚度测量,并显示脂肪和肌肉的构成关系。结论:通过Mimics软件能准确构建双侧大腿立体三维模型,实现大腿皮下脂肪组织的可视化、立体化及体积测量精准化,为大腿脂肪抽吸术的术前评估、手术设计及术后效果评价提供可靠依据。Objective To establish a three-dimensional(3D)model for accurate evaluation of subcutaneous fat distribution in the thigh using medical image software,and to provide an objective method for preoperative assessment and postoperative evaluation of the effect of thigh liposuction.Methods 24 patients who underwent bilateral thigh liposuction were selected.The preoperative and postoperative thigh CT scan data in DICOM format were imported into Mimics software,and modeling and measurements were performed using the software's image editing and measurement functions.Results A 3D digital model of subcutaneous thigh fat tissue was successfully constructed,which could observe the symmetry and beauty of the thigh from different angles,and obtain the total volume and distribution characteristics of subcutaneous fat in each subunit area of the thigh.The key planes of the targeted areas could be found,and the thigh circumference and fat thickness at different positions could be measured,displaying the composition relationship between fat and muscle.Conclusion The three-dimensional model of bilateral thighs can be accurately constructed by Mimics software,which can realize the visualization,three-dimensionalization and precise volume measurement of the subcutaneous fat tissue of the thighs and provide a reliable basis for preoperative evaluation,surgical design and postoperative evaluation of thigh fat aspiration.

关 键 词：脂肪抽吸术 三维模型 脂肪体积测量 可视化 精准评估 

分 类 号：R622[医药卫生—整形外科]