豫南地区150名成年女性腹部皮下脂肪厚度及体积测量研究

目的 为了解成年女性腹部皮下脂肪堆积及分布情况，获得腹部脂肪厚度及体积量学指标。方法 用全身彩超测试腹部皮下脂肪厚度，在５８６计算机ＵＣＤＯＳ环境下，应用Ｆｏｘｂａｓｅ＾＋下的生物医学数据处理程度进行计算分析。结果 脐部、上腹部、下腹部皮下脂肪明显高于其它部位Ｐ〈０．０１，当以上区域皮下脂肪厚度分别超过２５ｍｍ、２４ｍｍ、１２ｍｍ时，应做为脂肪抽吸术的适应证范围。并提出了计算腹部皮下脂肪厚度及体积的方程式。结论 本测量方法，较为准确的测量出成年女性腹部皮下脂肪的厚度、体积及范围，其结果对皮下脂肪的厚度、体积及范围，其结果对皮下脂肪抽吸术适应证的选择，抽吸量的估计，抽吸范围的确定具有一定的指导意义。     

女性乳房体积测量的研究现状

乳房体积的测量可以较准确地估算现有的乳房体积以及需增减的体积,以指导术前设计,减少盲目性,增加科学性和准确性。乳房体积测量在临床工作中主要用于五个方面：①正常人群的乳房体积调查;②确定隆乳术所需假体的容积;③乳房缩小术后对称性的评估;     

定量CT测量腹部脂肪面积及分布的重复性研究

目的研究采用定量悦栽骨密度（QCT)方法测量腹部脂肪面积及分布的重复性。方法以到 北京积水潭医院进行腰椎QCT骨密度检查的30例（女15例,男15例）患者为测量对象,采用QCT分 析软件中的“七泽怎藻composiLion”功能定量测量L2、L3、蕴源、L5椎体中心层面的腹部脂肪面积（TAA )及 腹内脂肪面积（VAA),两者相减得皮下脂肪面积（SAA)。由3名经过严格培训的放射医生独立进行 测量,并记录每次TAA及VAA测量用时。用重复测量方差分析及组内相关系数（ICC )评价3名不同 观察者测量间及同一观察者不同时间两次测量的重复性。结果3名不同测量者及同一测量者前后 两次测量L2、L3、蕴4、L5椎体中心层面TAA及VAA的均值无统计学显著差异（孕>0. 05 );名测量者 及同一测量者两次不同时间测量L2、L3、蕴4、L5椎体中心层面TAA及VAA测量值之间高度一致（ICC >0. 900 )。L2、L3、蕴4、L5 椎体中心层面平均 SAA/VAA 比分别为 1. 14 土 0. 58、1. 46 土 0. 81、2. 00 土 1.08、. 23依1.04。使用该方法测量单层面TAA及VAA所需时间为3耀6 min,平均约5 min。结论 定量CT测量腹部脂肪具有准确、可重复及快速等特点。该方法在测量椎体骨密度的同时,可区域 性、简单、直观的评价皮下及腹内脂肪分布     

腹部脂肪抽吸术的护理体会

随着美容技术的发展,通过较小皮肤切口,将蓄积在腹部皮下多余的脂肪去除,以改善形体。我科2010年1月-2013年10月通过36例腹部脂肪抽吸技术改善体形,取得良好的近期及远期效果。现将护理体会报道如下。1资料和方法1.1一般资料我科2010年1月-2013年10月共收治患者36例,均为女性,年龄20~55岁,未出现一例脂肪栓塞及水肿等现象,术后7~10d痊愈出院,经过一年的随访,患者满意率100%。1.2手术方法术前常规备皮,患者站立,选好抽吸部位,用定     

北方汉族女性颧脂肪垫厚度和位置的初步超声测量

目的 探讨应用超声测量端坐位时颧脂肪垫的厚度,并得到脂肪垫的分布,找出青年人和老年人颧脂肪垫的差异,为悬吊颧脂肪垫的年轻化手术提供依据.方法 将24例北方汉族女性按照年龄随机分为3组.用Good-Q型超声机测量颧脂肪垫的厚度,对所得数据进行方差分析.结果 青年组与中年组在脂肪垫分布上没有显著差异.但是老年组在F与3、F与4、E与4、E与5、D与4、D与5、C与5、B与5、A与4、A与5交点和O点比青、中年组厚.结论 老年人面颊外侧脂肪增多,可能造成脂肪向外下方移位,导致出现衰老容貌.     

150名青年女性眉眼的测量学研究

为了确定女性眼与眉的正常毗邻关系,我们对150名发育正常的青年女性的6个有关指标进行了测量学研究。经统计分析,得出6个平均指标,3个黄金指数。     

女性腹部精细形体雕塑术的临床效果分析

目的：提出一种基于女性腹部肌肉解剖结构改良的腹部精细形体雕塑术,并评估该术式的临床效果。方法：对2019年6月-2021年6月行腹部形体雕塑术的120例患者临床资料进行回顾性分析,标记出患者的腹白线、半月线及吸脂范围,在阴阜区、侧腰部共设计5个切口,于术区深浅两层注射肿胀液,用3.5 mm的吸脂针依据设计线选择性抽吸腹部脂肪,雕塑出健美的腹部轮廓。术后进行1～6个月的回访并进行满意度调查。结果：所有患者腹部形态显现,均未出现皮肤坏死、脂肪栓塞等严重并发症。满意83例(69.17%),较满意32例(26.67%),不满意5例(4.17%)。结论：腹部精细形体雕塑术可使腰腹部获得协调健美的外观,同时隐蔽了切口瘢痕,患者满意率较高,值得临床应用。     

剖宫产术后腹部切口脂肪液化的原因及防治措施

目的分析剖宫产术后腹部切口脂肪液化的原因及防治措施。方法对34例剖宫产术后腹部切口脂肪液化患者的临床资料进行回顾性分析。结果 34例患者中体质量指数偏高20例(58.82%),贫血4例(11.76%),妊娠水肿4例(11.76%),滞产3例(8.82%),其他原因3例(8.82%)。本组患者经治疗后均痊愈,术后随访3个月,均愈合良好。结论剖宫产术后切口脂肪液化常由多种因素共同作用所致,其中肥胖、贫血、妊娠水肿、待产时间过长等是发生剖宫产术后腹部切口脂肪液化的常见因素。防止体质量指数过高、积极治疗妊娠合并症、提高手术操作技术水平等措施,有助于降低术后切口脂肪液化的发生率。     

Increasing body mass index and abdominal subcutaneous fat thickness are associated with increased skin-to-epidural space distance in pregnant women

BackgroundBody mass index does not indicate the distribution of adipose tissue. Central adiposity may be measured using ultrasound measurement of subcutaneous fat thickness. This study determined if the abdominal subcutaneous fat thickness measured correlated with skin-to-epidural space distance at delivery, and compared this with the booking body mass index.MethodsWe analysed a sub-set of participants from a single-centre, prospective cohort study that assessed the relationship between subcutaneous fat thickness and maternity outcomes. Abdominal subcutaneous fat thickness measurements were obtained during the routine fetal anomaly scan. The skin-to-epidural space distance was obtained in those having epidural or combined spinal-epidural analgesia. Linear regression was used to test for strength of association and adjusted R² values calculated to determine if subcutaneous fat thickness or body mass index was more strongly associated with skin-to-epidural space distance.ResultsThe 463 women had a median (IQR) booking body mass index of 25.0 kg/m² (21.8–29.3) and subcutaneous fat thickness of 16.2 mm (13.0–21.0). The median (IQR) skin-to-epidural space distance was 5.0 cm (4.5–6.0). Both parameters significantly correlated with skin-to-epidural space distance (r=0.53 and 0.68 respectively, P <0.001). Adjusted linear regression coefficient (95% CI) for subcutaneous fat thickness was 0.09 (0.08 to 0.11), R²=0.30 and for body mass index 0.12 (0.11 to 0.13), R²=0.47.ConclusionsBooking body mass index had a stronger relationship with skin-to- epidural space distance at delivery than subcutaneous fat thickness, explaining 47% of the variation in the skin-to-epidural distance.     

腹壁皮下脂肪两种测量方法的比较

目的　探讨腹壁皮下脂肪厚度两种测量方法的特点 ,并结合吸脂情况 ,比较其准确性与优、缺点。方法　采用指捏法 (卡尺法 )测量皮褶厚度及彩超法测量皮下脂肪厚度 ,并对其结果进行比较 ,以探讨更有效的测量方法。结果　通过 160例测量结果比较可以看出 ,卡尺法测量皮褶厚度与彩超法测量皮下脂肪厚度比较 ,经统计学检验 ,P <0 .0 1,有显著性差异。结论　卡尺法测量皮褶厚度与彩超法测量皮下脂肪厚度相比 ,前者准确性差 ,但简单易行 ,术前术中可比性高 ,实用性强 ;后者准确性高     

腹壁皮下脂肪两种测量方法的比较

目的探讨腹壁皮下脂肪厚度两种测量方法的特点,并结合吸脂情况,比较其准确性与优、缺点.方法采用指捏法(卡尺法)测量皮褶厚度及彩超法测量皮下脂肪厚度,并对其结果进行比较,以探讨更有效的测量方法.结果通过160例测量结果比较可以看出,卡尺法测量皮褶厚度与彩超法测量皮下脂肪厚度比较,经统计学检验,P＜0.01,有显著性差异.结论卡尺法测量皮褶厚度与彩超法测量皮下脂肪厚度相比,前者准确性差,但简单易行,术前术中可比性高,实用性强;后者准确性高.     

Similar VLDL-TG storage in visceral and subcutaneous fat in obese and lean women

OBJECTIVE

Excess visceral fat accumulation is associated with the metabolic disturbances of obesity. Differential lipid redistribution through lipoproteins may affect body fat distribution. This is the first study to investigate VLDL-triglyceride (VLDL-TG) storage in visceral fat.

RESEARCH DESIGN AND METHODS

Nine upper-body obese (UBO; waist circumference >88 cm) and six lean (waist circumference <80 cm) women scheduled for elective tubal ligation surgery were studied. VLDL-TG storage in visceral, upper-body subcutaneous (UBSQ), and lower-body subcutaneous (LBSQ) fat were measured with [9,10-³H]-triolein–labeled VLDL.

RESULTS

VLDL-TG storage in visceral fat accounted for only ∼0.8% of VLDL-TG turnover in UBO and lean women, respectively. A significantly larger proportion of VLDL-TG turnover was stored in UBSQ (∼5%) and LBSQ (∼4%) fat. The VLDL-TG fractional storage was similar in UBO and lean women for all regional depots. VLDL-TG fractional storage and VLDL-TG concentration were correlated in UBO women in UBSQ fat (r = 0.68, P = 0.04), whereas an inverse association was observed for lean women in visceral (r = −0.89, P = 0.02) and LBSQ (r = −0.87, P = 0.02) fat.

CONCLUSIONS

VLDL-TG storage efficiency is similar in all regional fat depots, and trafficking of VLDL-TG into different adipose tissue depots is similar in UBO and lean women. Postabsorptive VLDL-TG storage is unlikely to be of major importance in the development of preferential upper-body fat distribution in obese women.Upper-body obesity, especially when associated with visceral fat accumulation, is related to the development of metabolic abnormalities, such as insulin resistance, type 2 diabetes, and dyslipidemia (1,2). In contrast, lower-body obesity does not exhibit these abnormalities (3,4). The mechanism behind the development of these different obesity phenotypes remains unclear (5,6). Studies have not provided clear evidence to suggest that differences in regional lipolysis promote the development of differences in adipose tissue distribution (6–8). Moreover, studies of meal fat storage and direct plasma free fatty acid (FFA) storage have failed to demonstrate definite differences, with reports showing greater (9,10) and similar (6,11) storage in visceral compared with subcutaneous adipose tissue in lean and obese men and women.Differences between chylomicron and VLDL-triglyceride (VLDL-TG) uptake in different regional adipose tissues (12) underscore that studies of VLDL-TG storage are warranted. By using an ex vivo–labeled VLDL-TG tracer, we recently reported that VLDL-TG adipose tissue fatty acid storage was similar in upper-body subcutaneous (UBSQ) and lower-body subcutaneous (LBSQ) fat in lean and obese women (13) and in obese and type 2 diabetic men (14). Thus far, no studies have investigated VLDL-TG fatty acid storage in visceral adipose tissue.The aim of this study was to test the hypothesis that VLDL-TG fatty acid storage is greater in visceral adipose tissue compared with LBSQ and UBSQ adipose tissue. We wanted to test this hypothesis in both upper-body obese (UBO) and lean women. A secondary aim was to assess whether the storage pattern differed between UBO and lean women.     

肥胖人群腹部脂肪含量与阻塞性睡眠呼吸暂停综合征的关系

目的 探讨在国人体重过重者(BMI＞ 25)中,阻塞型睡眠呼吸暂停综合征(OSAHS)患者与非OSAHS患者腹部脂肪含量的区别,及腹部脂肪对OSAHS的影响.方法 对北京朝阳医院呼吸内科2009年7月至2010年7月收治的主诉打鼾患者中BMI＞ 25的病例进行前瞻性研究,共25例,为OSAHS组(病例组),另征集无打鼾主诉,BMI＞ 25的志愿者30例,为非OSAHS组(对照组).对2组均进行睡眠呼吸监测诊断及全腹部CT影像学检查,CT三维重建系统测量全腹部脂肪体积.数据采用SPSS 13.0统计软件处理.结果 病例组与对照组腹部脂肪含量经采用t检验进行组间比较,病例组的腹部脂肪含量明显高于对照组(P＜0.01),OSAHS与腹部脂肪含量的关系有统计学意义.结论 肥胖人群中,OSAHS与腹部脂肪含量的关系密切,体重过重者,OSAHS患者的腹部脂肪含量明显高于对照组.