肿胀麻醉脂肪抽吸术284例

目的探讨应用肿胀麻醉抽吸术治疗局限性肥胖的安全性和手术技巧。方法术前设计选择隐蔽切口,采用肿胀技术,负压为0.06kPa,选择直径2.8-4.0mm的钝头侧孔吸脂针,沿术前设计抽吸范围分层、隧道内、放射状抽吸脂肪。结果本组284例患者,术后157例随访3-20个月,术区平整对称,切口瘢痕隐蔽细小,效果满意。结论该方法麻醉效果彻底且作用时间较长,出血少,组织损伤小。正确的脂肪抽吸方法和精细操作,是手术成功的关键。

The treatment of 284 cases localized excess adipose tissue by use of the liposuction technique

Objective To discuss the security and surgical skills for treatment of localized adiposity with and liposuction technique. Methods The preoperative designs included the choice of a concealing incision, application of the liposuction technique, and the use of a cutting needle with diameter of 2.8 - 4.0 mm and 0.06 kPa negative pressure for liposuction. Liposuction was performed by layers, radially tunneling according to preoperative design. Results Of 284 cases, 157 were satisfied with the concealing incision scar and evenness and symmetry of the operative areas after 3- 20 months follow up. Conclusion Fine operation and correct liposuction technique are the key to achieving success with this operation. It is a safe and effective method for treatment of localized excess adipose tissue by use of the tumescent technique and liposuction.