多部位一期肿胀吸脂术  

Improvement of multi-site combineation in simple obese patient with tumescent liposuction

作　　者：朱力[1] 秦荣生[1] 陈育哲[1] 李比[1] 尤维涛[1] 李健宁[1] 

机构地区：[1]北京大学第三医院成形科,100083

出　　处：《中华医学美学美容杂志》2003年第3期153-155,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的　探讨多部位一期肿胀吸脂术及几项重要环节改进后的临床意义。方法　在大范围肿胀液注射前 ,诱导麻醉中速效苯二氮类镇静诱导剂的选择使用 ,以及调整注液器压力、注液速度及注射层次 ,以达到降低疼痛反应和提高疼痛耐受性的效果。切口选择的隐蔽性与特殊保护 ,减少术后瘢痕形成。为了提高皮瓣平整均匀程度 ,采用手术后期皮瓣外加压和滑动式操作手法 ,根据受术者不同年龄及不同部位决定保留皮瓣的厚度 ,并进行将术后开放式引流改为闭式引流的尝试。结果　对 73例受术者术后 6～ 2 4个月随访 ,除 1例腹部瘢痕增生外 ,其余均对手术效果满意。围度变化 :腹部最大围减少3～ 2 4cm ,大腿最大围减少 2～ 17cm ,臀部最大围减少 1～ 3cm。结论　通过对围手术期关键步骤的改进 ,提高了多部位一期肿胀吸脂术的综合疗效。Objective To investigate clinical therapeutic effects after a series of improvements of multi-site combination in the simple obese patient with tumescent liposuction. Methods Before tumescence anesthetization, short-acting benzo-diazepine was used as sedative inducer. The pressure and fluid velocity of short-acting benzodiazepine were regulated and injected into deeper level of fat at first, and all of these actions decreased the pain of patients, and promote the effect of the pain tolerance. The positions of the incisions were selected to hide from view and specifically protected, which could improve looks and decrease the scar formation after operation. In later stage of operation the flaps were pressurized and slid from outside, in order to make the flaps even and smooth and to keep their thickness according to the position of the flaps and the age of the patients. Opened draining was changed to block draining after operation. Results 73 cases were taken the follow-up for 6～24 months. All cases obtained satisfactory results, except that one cases was complicated by scar hypertrophy. The changes of the circumferences were as follows: the decrease of the maximum circumference of thigh was from 2 cm to 17cm, abdomen from 3 cm to 24 cm, and buttocks from 1 cm to 3 cm. Conclusions A series of improvement of key measures enhance the clinical therapeutic effects of multi-site combination in the simple obese patient with tumescent liposuction.

关 键 词：多部位一期肿胀吸脂术 脂肪切除术 手术方法 并发症 

分 类 号：R622[医药卫生—整形外科]