双极射频联合实时温控治疗下面部松弛的疗效观察  

The efficacy observation of bipolar radiofrequency combined with real-time temperature control in the treatment of facial laxity

作　　者：李永冰 陈玲 黄楠 刘顺财 龚震宇 薛永平 LI Yongbing;CHEN Ling;HUANG Nan;LIU Shuncai;GONG Zhenyu;XUE Yongping(Department of Cosmetic Surgery,Affiliated Hospital of Guilin Medical University,Guangxi Zhuang Autonomous Region,541004,China)

机构地区：[1]桂林医学院附属医院医学美容外科,广西桂林541004

出　　处：《中国医疗美容》2024年第8期7-11,共5页China Medical Cosmetology

基　　金：广西肝脏损伤与修复分子医学重点实验室课题(GXLIRMMKL-K202204);广西壮族自治区卫生健康委员会自筹经费科研课题(Z-C20220834)。

摘　　要：目的 评价双极射频联合实时温控治疗面部、下颌部松弛的有效性及安全性。方法 该研究共纳入2022年9月至2024年2月在桂林医学院附属医院医学美容外科就诊并接受提拉紧致治疗的48例患者。全部患者均使用Forma手具进行提拉紧致,根据患者面部脂肪堆积情况选择使用MiniFX手具进行减脂,并以此分为两组。疗程结束后随访患者3月,评估疗效、满意度并记录不良反应发生情况。结果 48例患者面部皱纹及松弛均有不同程度的改善,各组内疗程结束后即刻皱纹及松弛评分与治疗前比较,差异有统计学意义(P<0.05),组间比较差异无统计意义(P>0.05)。分别于疗程后1月、3月进行随访,各组内3月满意度评分高于1月,差异有统计学意义(P<0.05),各随访时间点组间比较差异无统计意义(P>0.05)。随访结束共有41例患者反映下颌轮廓有明显改善。所有患者在每次治疗后会立即出现短暂性的泛红,无严重不良反应。结论 双极射频联合实时温控在面部皮肤收紧、改善下颌轮廓的治疗方面是有效且安全的,在3个月内仍可维持效果。Objective To evaluate the effectiveness and safety of bipolar radiofrequency combined with real-time temperature control in the treatment of facial and jawline laxity.Methods This study included 48 patients who visited Department of Cosmetic Surgery,Affiliated Hospital of Guilin Medical University and underwent skin tightening treatment from September 2022 to February 2024.All patients underwent skin tightening using the Forma handpiece,and depending on the facial fat accumulation,the MiniFX handpiece was used for fat reduction,dividing the patients into two groups.After the treatment,the patients were followed up at 3 months to evaluate the efficacy,satisfaction,and record adverse reactions.Results Different degrees of improvement in facial wrinkles and laxity were observed in all 48 patients,and there was a statistically significant difference in wrinkle and laxity scores within each group before and immediately after treatment(P<0.05),but no significant difference was found between the groups(P>0.05).Follow-up evaluations at 1 month and 3 months showed higher satisfaction scores in March compared to January within each group,with a statistically significant difference(P<0.05),but no significant differences were found between the groups at each followup time point(P>0.05).At the end of the follow-up,41 patients reported a significant improvement in jawline contour.All patients experienced transient erythema immediately after each treatment,and no severe adverse reactions were observed.Conclusions Bipolar radiofrequency combined with real-time temperature control is effective and safe in skin tightening and improving jawline contour.The effects can be maintained for up to 3 months.

关 键 词：皮肤松弛 皱纹 射频 紧致 

分 类 号：R62[医药卫生—整形外科]