负压抽吸术在减肥及乳房整形术中的应用

Application of vacuum suction in body sculpture and breast mamnoplasty: a report of 825 cases

目的 探讨负压抽吸术在减肥及乳房整形术中的作用 ,增加该手术的应用范围 ,提高其手术效果。方法 在大剂量灌注肿胀液的基础上 ,采用负压抽吸术对面部和躯体部局部脂肪堆积、女性巨大乳房 (脂肪型 )、男性乳房肥大、自体脂肪颗粒移植隆乳术后的包块、聚丙烯酰胺水凝胶 (下简称水凝胶 )注射隆乳术后出现感染和硬结进行治疗 ,共计 82 5例。结果 受术者对手术满意率达 96% ,临床有效率 10 0 %。减肥的各个部位经负压抽吸术治疗后其周径或体积均有明显减小。自体脂肪颗粒注射隆乳术后出现包块 ,水凝胶注射隆乳术后出现感染和硬结 ,经负压抽吸术治疗都得到解决。结论 负压抽吸术只要运用得当 ,就能在体形雕塑及乳房整形方面取得良好效果 ,并能较好地处理水凝胶注射隆乳术后的并发症 ,大大地减少切开手术带来的痛苦及瘢痕形成。

Objective To evaluate the effect of vacuum suction on shaping sliming and breast anaplasty, to expand indications of vacuum suction, and to improve its result. Methods Based on injection of swelling solution more than routine dosage, vacuum suction was used in totally 825 cases, including local fat deposit in face or other sites of body, macromastia in female, hypermastia in male, lump after breast anaplasty by autograft of fat granule, as well as infection and induration after breast anaplasty by injection of polyacrylamide. Results Satisfactory rate of subjects to vacuum suction was up to 96 %, and clinical efficacy rate of the operation was 100 %. As to sliming cases, there were significant decreases in their measurements of figures or dimensions. In case of the lump from breast shaping by fat granule autograft, as well as the infection and induration caused by injection of polyacrylamide during breast anaplasty, vacuum suction could resolve all of them wonderfully. Conclusions When used properly, vacuum suction may play an excellent role in shaping sliming and breast anaplasty, and it can also resolve those complications brought up in breast shaping by fat granules autograftor and by polyacrylamide injection. Vacuum suction decreases the pain and cicatrisation caused by invasion surgery significantly.