超声辅助脂肪抽吸结合腹壁整形术的体形塑造

Combined ultrasound-assisted liposuction and dermolipectomy for abdominoplasty

目的 探讨采用超声辅助脂肪抽吸结合手术去脂行腹壁整形术的临床效果。方法 术前站立位 ,以腹、腰部脂肪明显堆积处为中心用等高线标记脂肪抽吸区 ;仰卧位采用“夹捏法”确定腹壁整形术的皮肤脂肪切除区。术中先采用超声波体内导入结合肿胀技术吸除非切脂区脂肪 ,再进行腹壁整形术的皮肤、脂肪切除、腱膜折叠术及脐移位。结果 1 6例术后随访 6个月至 2年 ,无感染、皮肤坏死、伤口裂开等并发症发生 ;并发症较少 ;术后皮肤回缩明显 ,术区平坦 ,感觉恢复快。结论 采用体外超声波辅助吸脂结合切脂的腹壁整形术进行腹部体形塑造的临床疗效较佳。

Objective To study the clinical effects of abdominoplasty using ultrasound assisted liposuction and dermolipectomy. Methods With the patient standing, the relative areas of maximal adipose fullness in the abdomen and waist were marked topographically. With the patient in the supine position, the 'pinch test' was performed by surgical operator advancing the tissue in the infraumbilical area toward the pubic region in order to estimate how much skin needed to be resected before operation. Inter-operatively tumescent technique with the transduction of ultrasound into fatty areas was applied in the first place, following classic abdominoplasty including excessive skin and fat resection, musculoaponeurotic plication and umbilical transposition. Results Sixteen patients followed up from six months to two years were satisfied with aesthetic effects because of smoothness of the operated areas, good sensory recovery and obvious shrinkage of skin with fewer complications. There were no infection, skin necrosis, and wound dehiscence. Conclusion The excellent effects of abdominal profile sculpture can be reproduced with the new method using UAL in vivo and dermolipectomy.