减重手术后皮肤松弛的塑形手术现状与展望  

Body contouring surgery for skin laxity after metabolic and bariatric surgery:current status and future perspectives

作　　者：王鹏鹏 周涵苓 孟化 刘宝胤 Wang Pengpeng;Zhou Hanling;Meng Hua;Liu Baoyin(Department of General Surgery&Obesity and Metabolic Disease Center,China-Japan Friendship Hospital,Beijing100029,China;Eighth Clinical School,Capital Medical University,Beijing 100038,China)

机构地区：[1]中日友好医院普外科代谢减重中心,北京100029 [2]首都医科大学第八临床医学院,北京100038

出　　处：《中华肥胖与代谢病电子杂志》2024年第4期248-254,共7页Chinese Journal Of Obesity and Metabolic Diseases:Electronic Edition

基　　金：中日友好医院临床研究与转化跃升项目(2023-NHLHCRF-YYPP-TS-02,2023-NHLHCRF-YS-0103);北京市研究型病房建设临床研究项目(2022-YJXBF-03-02);中日友好医院人才引进项目(no.2018-RC-1)

摘　　要：减重代谢手术是重度肥胖患者获得长期稳定减重效果的唯一有效手段,但患者术后会伴随出现不同程度的皮肤松弛,对患者的心理状态和生活质量产生消极影响。身体塑形手术能有效改善皮肤松弛的问题,但普及率较低。本文归纳了当前国内外减重代谢术后腹壁、臀部、大腿、胸部、上肢等不同身体部位皮肤松弛的手术方式及研究进展,总结了身体塑形术前评估、术前准备以及术后效果评价及可能出现的并发症,强调了术前评估、围手术期管理的重要性,并在此基础上对推广实施减重术后身体塑形手术做出展望。Metabolic and bariatric surgery is the only effective option for individuals with severe obesity to achieve long-term and stable weight loss.However,patients may have varying degrees of skin laxity after surgery,negatively impacting their psychology and quality of life.Body contouring surgery has been demonstrated to be effective in improving skin laxity,but its prevalence is low worldwide.This paper discusses the preoperative assessment,preparation,and postoperative complications of body contouring surgery,summarizes the current surgical approaches and research progress for skin laxity in different body parts,and based on this,provides a prospect for body contouring surgery following metabolic and bariatric surgery.

关 键 词：肥胖 减重与代谢手术 身体塑形手术 

分 类 号：R622[医药卫生—整形外科]