中老年人吸脂塑形术260例临床分析

Clinical Analysis of Liposuction Technique for the Middle-Old-Aged People of 260 Cases

目的探求对中老年人的安全、简便、快速的减肥塑身方法,应用肿胀麻醉吸脂术治疗260例中老年肥胖患者,并对其肥胖部位的解剖、患者的心理状态、采用的手术方法、术后的并发症及远期疗效进行分析研究。方法选择肿胀麻醉、双手配合、微切口、扇形、分层次、分部位行隧道式抽吸。结果260例患者均取得满意效果,显效192例,有效68例,体重减轻3～5kg,腹围减少5～8cm,臀围减少5～15cm,尤其腹臀塑形效果好,体形改善、无反弹,血脂、胆固醇下降。结论术者行手术时要分层次、分部位进行,不要两部位联合抽吸,动作应轻柔。根据术后效果观察,本手术适合50～70岁的中老年人。

Objective To find a safe, simple, and easily recovering method of sculpting body figure for middle-old-aged people. Methods 260 cases of women undergoing liposuction on tumescent anesthesia were enrolled in this study. Local anatomy, psychological activity, operative method, complication and long term curative effect were researched. The main techniques of tumescent liposuction included local anesthesia, micro-incision, two hands cooperation and radial tunnel in different layers. Results All 260 cases have reached satisfactory results after operation. 192 cases had notable effects, 68 cases had some effects, and the average weight reduction was 2 to 4 kg, abdominal length reduction was 3 to 8 cm, lumbar reduction was 4 to 11 cm, and buttocks reduction was 6 to 15 cm. The body figure and local shape were molded with different volumes of fat removed. It was showed that abdomen and buttocks acquired a better effect than other parts. There was no post-operative recurrent and blood lipid decsease. Conclusion The tumescent liposuction is a very safe and effective procedure for middle-old-aged people who want to remodel their body shape by plastic surgery.