体外超声吸脂术204例报告  

External ultrasonic liposuction:a report of 204 cases

作　　者：于涛 兰云 王惠 李祥 

机构地区：[1]云南省邮电医院博远激光整形美容中心,昆明650011

出　　处：《中华医学美学美容杂志》2003年第4期206-208,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨体外超声吸脂术的疗效、安全性、操作技能及总结该术式的优缺点。方法　在门诊手术室应用美国的SILBERGE .U .A .TM体外超声乳化系统和HEROULESTM大力神吸脂设备 ,以肿胀麻醉为主 ,少数以亚麻醉加肿胀麻醉 ,共行吸脂术 2 0 4例。结果　满意率 90 .6 9%。最大吸脂量 6 80 0ml,最小吸脂量 2 5 0ml,平均每例吸脂量 190 8ml,平均每部位吸脂量为 10 0 6ml,吸脂量超过传统吸脂方法。优点为脂肪吸出量大 ,效果明显 ,出血少 ,疼痛轻 ,安全。缺点为吸出的脂肪已被坏 ,不能再利用。对术后不满意情况如表面凸凹不平、积液、双侧不均匀、吸脂量不足、疼痛、吸脂口愈合减慢、皮下瘀斑 ,提出相应的处理方法。大多数患者存在不同程度硬结 ,提醒大家注意术中患者血压下降情况。结论　该吸脂方法简便、安全、可靠 ,是理想的去脂方法之一。并提出多次少部位吸脂 ,术后对患者生活、工作影响较小 ,患者术后反应较佳 ,社会效益好。Objective To summarize the experiences of ultrasonic liposuction in 204 cases, and to analyze the advantages and disadvantages of this technique. Methods The ultrasonic system (SILBERGEE E.U.A. TM ) and the liposuction equipment (HEROULES TM , American) were applied with the tumescent technique in 204 cases. Results Satisfactory rate was 90.69 %. After operation the highest sucked fat quantity was 6 800 ml, and the fewest quantity 250 ml, with an average of 1 907.6 ml for each case. Average volume of sucked fat in each position was 1 005.5 ml, which exceeded that by the traditional method. Advantages of this technique were larger fat quantity, obvious effect, less bleeding and pain, and safety. Disadvantages and complications were rough and uneven surface, accumulation of the liquid, bilateral asymmetry, slow wound healing, subcutaneous ecchymosis and hardening nodule, and even decreased blood pressure. The corresponding processing technique was recommended after liposuction. Conclusion This method is a simple and convenient, safe and reliable technique. It is suggested that multiple times and less portions of liposuction may be of benefit to patients.

关 键 词：体外超声吸脂术 脂肪抽吸术 吸脂量 临床资料 

分 类 号：R622[医药卫生—整形外科]