肿胀麻醉脂肪抽吸配合乳腔镜技术治疗腋窝副乳腺

副乳腺(多乳房症)是乳腺科临床常见的先天性畸形疾病,亚洲人多发,女性多于男性,女性发病率为1％～5％,往往伴有局部脂肪组织增生.可以发生在两侧原始乳腺发生线(即Schultze线)的任何部位,常见于腋窝前缘或正常乳腺的尾部.表现为腋窝前的半球形或不规则隆起.患者多因外观畸形或疼痛就诊. 本院自2007年6月至2011年1月共收治副乳腺患者84例,均采用肿胀麻醉脂肪抽吸法配合乳腔镜技术治疗,取得了较好的临床疗效.     

乳晕内上方月牙形切口结合脂肪抽吸治疗中度男性乳房肥大症

目的:探讨通过乳晕内上方"月牙形"切口切除增生乳腺组织,并结合脂肪抽吸治疗中度男性乳房肥大症的手术方法和临床效果。方法:在乳晕内上方设计"月牙形"切口,结合负压脂肪抽吸,在去除增生乳腺组织和堆积脂肪的同时,纠正向外下方移位的乳头乳晕位置。结果:本组共12例,20侧,Si mon分级2b以上男性乳房肥大患者,经本方法治疗,手术效果确切,在去除增生乳腺及脂肪组织的同时,向外下方移位的乳头乳晕位置亦得以纠正,1例1侧术后出现血肿,经妥善处理后痊愈。结论:采取乳晕内上方"月牙形"切口结合脂肪抽吸的方法治疗男性乳房肥大,即可有效去除多余的腺体和脂肪组织,又可以纠正外下方移位的乳头乳晕位置,术后乳头乳晕血供良好,感觉正常,是安全有效的方法。     

脂肪抽吸加乳晕小切口治疗男性乳房肥大症

目的：探讨男性乳房肥大症的治疗方法及脂肪抽吸加乳晕小切口治疗男性乳房肥大症的手术效果。方法：于肥大乳房区域皮下脂肪层注射肿胀麻醉液，采用负压吸脂法吸出该区内的脂肪组织及部分乳腺组织，使其与周边衔接自然，胸部平整为止。经抽吸，乳头下方残留的乳腺组织与其上方呈网状疏松连接，极易被分离，干乳晕缘做2cm切口，分离并切除残余的乳腺组织。与以往的治疗方法对比，讨论了本法的优点，提出了术中扣作要点及注意事项，明确了本手术的适应证。结果：采用此方法为22例男性乳房肥大症患者治疗，吸出脂肪组织32－680ml，切除乳腺组织30－150g，伤口I期愈合，术后胸部平整，切口瘢痕不明显，效果满意。结论：本方法出血量小，安全性大，操作简单，易于掌握，适用于治疗脂肪型及脂肪腺体型男性乳房肥大症。     

脂肪抽吸治疗腋下副乳的临床体会

目的:探讨脂肪抽吸治疗腋下副乳的手术方法及意义。方法:采用肿胀麻醉及脂肪抽吸的方法治疗腋下副乳。结果:32例患者术后病理证实为腋下乳腺组织。1例出现血清肿。随访7～14个月,腋窝形态良好,切口瘢痕不明显,未见复发。结论:脂肪抽吸治疗腋下副乳操作简便,创伤小,恢复快,效果良好。     

脂肪抽吸术并发症

脂肪抽吸术是消除局部脂肪堆积改善体形的一项技术 ,通过抽吸管吸引或超声辅助下抽吸脂肪从而实现体形重塑。这种形体的改善往往是永久性的 ,因此脂肪抽吸术 (ＳｕｃｔｉｏｎＬｉｐｅｃｔｏｍｙ)问世十几年来很快受到整形外科医师和患者的欢迎 ,并被认为是治疗局部脂肪沉积的首选方法。最早应用脂肪抽吸的是西德医生ＪｏｓｅｆＳｃｈｒａｄｄｅ ,早在 2 0世纪 60年代他用妇科刮宫用的刮匙在皮下 1ｃｍ深处形成隧道 ,刮除两旁的脂肪组织 ,并用抽吸的方法去除脂肪组织碎片。到 70年代中期 ,瑞士的Ｋｏｓｓｅｌｒｉｎｇ发明了一种有别于子宫刮…     

腔镜联合脂肪抽吸术治疗男性乳房发育症

目的:探讨腔镜联合脂肪抽吸术治疗男性乳房发育症的手术效果。方法:在全麻下,应用腔镜和超声刀,切除发育乳腺;采用肿胀麻醉,负压抽吸方法,抽吸乳腺脂肪层,并放置引流,弹力绷带加压包扎。结果:共吸出脂肪组织150～700ml,切除乳腺组织30～160g。随访3个月,患者乳房形态自然良好,乳头乳晕感觉正常,弹性良好,乳房表面无瘢痕,患者对手术效果满意。结论:腔镜联合脂肪抽吸术是男性乳房发育较好的治疗方法,但因其对设备和技术要求较高,限制了其普及。     

脂肪抽吸术联合小切口切除腺体在副乳腺手术中的应用

目的探讨脂肪抽吸术联合小切口切除腺体在副乳腺手术中的临床效果。方法对2014-2015年经手术治疗的76例副乳腺患者的临床资料进行回顾性分析,其中38例行脂肪抽吸联合小切口切除术(微创组),38例行传统切开法(传统组)。对比分析两组的临床疗效、并发症及术后满意度。结果微创组在单侧手术时间、术中出血量以及住院时间上,均较对照组有优势(P0.05)。随访期间,微创组在术后外观的满意率、上肢活动良好率以及局部无疼痛率方面均高于传统组(P0.05)。结论副乳腺采用脂肪抽吸联合小切口腺体切除术,疗效可靠,创伤小,不仅解决了局部皮肤松弛的外观,还具有切口瘢痕隐匿的效果,且肢体活动未受影响,符合美学理念,值得临床广泛应用。     

探讨联合应用脂肪抽吸和小切口腺体切除治疗男性乳腺发育的临床意义

目的探讨联合应用脂肪抽吸加乳晕小切口腺体切除治疗男性乳腺发育的临床意义。方法联合应用脂肪抽吸加小切口腺体切除治疗男性乳腺发育30例,首先应用脂肪抽吸术在腺体的前后两平面将乳腺前后脂肪吸出,同时在腺体前后两层形成两个已剥离的、潜在的平面,然后通过乳晕下小切口切除腺体。结果本组单侧乳房腺体切除平均133(20~200)g,脂肪组织抽吸量平均650(250~1 000)ml,术中出血平均43(20~80)m l。乳晕切口长约2 cm,均为甲级愈合。本组均无血肿、血清肿、乳头乳晕坏死、感染等并发症发生。随访6~12个月无复发,患者均获得平整的胸廓外形,无乳头乳晕凹陷。结论脂肪抽吸加小切口腺体切除治疗男性乳腺发育,方法简单,出血少、术后胸部平整,效果理想。     

副乳的诊断及其整形外科治疗进展

副乳在女性中并不少见，它是胚胎乳腺嵴退化失败的结果，常表现为胸前之外出现多余的乳头、类似乳头样突起或乳腺组织肿块。常有患者因担心病变和影响外观前来整形外科就诊，以期预防病变和改善形态。目前常用治疗方法有梭形切除法、小切口副乳切除法和脂肪抽吸法等。本文结合国内外文献主要介绍了副乳形成机制、分类、诊断和治疗等方面的内容，以期为临床医生治疗副乳腺疾病提供参考。     

锐性吸脂针腋皱襞入路肿胀抽吸法治疗男性乳房发育症

目的:改良目前治疗男性乳房发育症的手术方法,观察其效果。方法:术前应用高频超声探头选择脂肪和乳腺组织均有增生的男性乳房发育症患者18例,以腋皱襞前端为入路,单纯应用锐性吸脂针对增大的乳房进行肿胀抽吸治疗,吸出物送病理学检查。结果:乳房胸部塑形良好,无血肿、乳头乳晕感觉障碍等并发症。胸部无手术痕迹残留。随访3～18月无复发。病理检查结果显示吸出物中有增生的乳腺组织,病理特点符合男性乳腺发育症。结论:对于脂肪和乳腺组织均有增生的男性乳房发育症,锐性吸脂针腋皱襞入路单纯肿胀抽吸术是一种可选的有效手术方法。     

Clinical characteristics and treatment of chest submammary accessory breasts

Accessory breast tissue is remnant mammary gland tissue resulting from a failure of regression during the embryonic development and can occur anywhere along the mammary ridge. Patients with accessory breast tissue may also have chest submammary accessory breasts, which are rare and painless, but are often removed for cosmetic reasons. Herein, we report the clinical characteristics and treatment of patients with chest submammary accessory breasts. This retrospective study included 104 women who had undergone liposuction for chest submammary accessory breast from January 2014 to December 2019. chest submammary accessory breasts were diagnosed by ultrasonography and physical examination. The overall satisfaction of patients with chest submammary accessory breast was evaluated using a 5-point Likert scale. The mean operation time was mean 20.7 min and the mean liposuction volume was mean 223.3 mL. The overall satisfaction score (incisional scar, pain and cosmesis) 6 months after chest submammary accessory breast liposuction was 4.7 (range 4–5). The chest submammary accessory breast consisted mainly of fatty tissue rather than mammary gland tissue; thus, chest submammary accessory breasts are painless and are treated purely for cosmetic reasons. In conclusion, liposuction is therefore a simple and effective treatment for chest submammary accessory breast.     

Syringe liposculpture: a two-year experience

Syringe liposculpture is a method that combines two relatively new techniques of plastic surgery: syringe liposuction and fat grafting. We can reshape the face and the body by removing localized fat deposits and reinjecting this fat where needed. When we do not reinject, we call the technique reduction liposculpture. In 1989 we introduced a new technique--superficial syringe liposculpture--to treat patients with flaccid skin, superficial irregularities or depressions, "cellulite," and liposuction sequelae. The technique combines syringe liposculpture, superficial liposuction, and our method of treating skin irregularities by breaking the fibrous adherences and injecting fat superficially.     

皮下超量灌注吸脂术

总结1990～1994年期间我们采用皮下超量灌注吸脂技术治疗18例局部脂肪堆积病人的经验。皮下超量灌注吸脂术是一套全新的吸脂技术,它对组织创伤小,术中出血很少,脂肪吸除彻底,安全有效。文中还介绍厂我们自己设计的新型吸脂器械。     

皮下超量灌注吸脂术

总结１９９０～１９９４年期间我们采用皮下超量灌注吸脂技术治疗１８例局部脂肪堆积病人的经验。皮下超量灌注吸脂术是一套全新的吸脂技术，它对组织创伤小，术中出血很少，脂肪吸除彻底，安全有效。文中还介绍了我们自己设计的新型吸脂器械。     

The Efficacy of Powered Liposuction

BACKGROUND: Powered liposuction is a relatively new innovation for more efficient removal of adipose tissue. OBJECTIVE: To evaluate the effectiveness of powered liposuction in removing adipose tissue when compared to traditional liposuction. METHODS: Four powered liposuction devices were evaluated in the power on mode vs. the power off. The fat extracted in each of these modes was measured in a mucous specimen trap. RESULTS: There was increased fat extraction in the powered mode for all instruments. The increased rate of fat extraction varied from 20 to 45% between instruments. the overall increased extraction in powered vs. nonpowered mode was 30%. CONCLUSION: The powered liposuction devices tested significantly increase the efficacy of subcutaneous fat removal during liposuction.     

A systematic approach to the surgical treatment of gynaecomastia.

Numerous techniques have been described for the correction of gynaecomastia, and the surgeon is faced with a wide range of excisional and liposuction procedures. There is a paucity of literature describing an integrated approach to the management of this condition and the roles of the different treatment modalities. A review of all gynaecomastia patients operated on by one surgeon over a 2-year period was undertaken. Patient satisfaction was assessed using a linear analogue scale with a maximum score of 10. In total, 48 breasts in 29 patients were treated--31 breasts by liposuction alone (19 by conventional liposuction, 12 by ultrasound-assisted liposuction), eight breasts by liposuction and open excision, and nine breasts by liposuction, open excision and skin reduction (concentric or Lejour mastopexy). There were no early postoperative complications, such as haematoma, seroma or infection, and 91% of patients were very satisfied (score: 8-10) with their cosmetic outcome. The most frequently encountered complication was a residual subareolar lump (five breasts), all in patients treated by conventional liposuction alone. In order to avoid the common complication of an uncomfortable residual subareolar nodule, the threshold for open excision in patients undergoing conventional liposuction should be low. Ultrasound-assisted liposuction extends the role of liposuction in gynaecomastia patients. Although skin excess remains a challenge, it can be satisfactorily managed without excessive scarring. A practical approach to the surgical management of gynaecomastia, which takes into account breast size, consistency, skin excess and skin quality, is proposed.     

Powered Liposuction

BACKGROUND: Although Arpad and Giorgio Fischer initially employed blades within cannulas in their early research while inventing liposuction, hollow cannulas have become the standard instrument for this procedure for the last quarter century. Ultrasonic liposuction was developed in the 1990s to facilitate the passage of cannulas through subcutaneous tissue while liquefying fat. However, these instruments had a number of drawbacks including seromas and tissue burns. Powered cannulas were introduced in 1995 by Gross for "liposhaving." This technique was used on the neck with open surgery under direct observation. OBJECTIVE: Based on these principles, a new powered liposuction device has been designed for body liposuction. METHOD: An oscillating blade within a cannula facilitates removal of fat, especially in fibrous areas such as male flanks and breasts. This instrument has proven to be safe in numerous body areas. Powered reciprocating cannulas also have been recently introduced. These simulate the "to and fro" motion of manual liposuction and appear to be safe. CONCLUSION: Powered liposuction may provide the advantages of ultrasonic liposuction with fewer complications.     

Syringe liposculpture: A two-year experience

Syringe liposcupture is a method that combines two relatively new techniques of plastic surgery: syringe liposuction and fat grafting. We can reshape the face and the body by removing localized fat deposits and reinjecting this fat where needed. When we do not reinject, we call the technique reduction liposculpture. In 1989 we introduced a new technique—superficial syringe liposculpture—to treat patients with flaccid skin, superficial irregularities or depressions, cellulite, and liposuction sequelae. The technique combines syringe liposculpture, superficial liposuction, and our method of treating skin irregularities by breaking the fibrous adherences and injecting fat superficially.     

The Minimal Facelift: Liposuction of the Neck and Jowls

We have used blunt liposuction for removing excess fat from the neck and jowls since 1983 with generally good results and few complications. Under local anesthesia with Valium and ketamine sedation and the use of the super-wet technique, and by using special precautions to avoid the complications of prominent platysmal bands, wrinkling of the neck, and salivary gland prominence, carefully performed liposuction to the neck and jowls has been shown to be a safe and dependable procedure with good results, and may delay or obviate the need for a facelift.     

Sicherheits- und Machbarkeitsstudie einer neuen radiofrequenzassistierten Fettabsaugungstechnik

The present study analysed the feasibility, safety and effectiveness of a new technique of radiofrequency-assisted liposuction in a variety of body areas. Between July 2008 and June 2009 51 patients underwent treatment with the Body-Tite? system. The average patient age was 38.8+/?12.4% (87% women, 13% men). Aesthetic results as well as local and systemic complications immediately, at 6 and at 12 weeks postsurgery were assessed. The majority of patients (40) underwent bilateral treatment in the hip and lower abdominal areas. Roll formation on the side of the thorax and flanks was treated in six patients, male“love handles” in five, inner upper thigh and knee in four, buttocks in three, upper arms in two and male breasts in one patient. The technique was successfully performed in all cases. The volume of aspirated fat per patient was 2404+/?1290 ml with an operating time of 180+/?44 minutes. Marked improvement in body contour and skin firmness was observed postoperatively in all patients. No systemic or local complications were observed and the postoperative period was relatively pain-free (a score of 2 on the visual analog scale). Weight and girth reduction were verified at 3-month follow-up. The study confirms that radiofrequency-assisted liposuction can safely and effectively remove large volumes of fat while tightening connective tissue or loose or fibrosed areas – with little“down time”. Compared with other methods, none was able to achieve the same quality of liposuction or tightening as that seen with the new radiofrequency Body-Tite? system.