135例50岁以上中老年患者吸脂术临床体会

Clinical experience of liposuction for the middle aged and elderly:a report of 135 cases

目的明确高频电场吸脂术对于中老年患者的疗效及安全度。方法回顾性分析和总结1997-2006年应用高频吸脂机结合肿胀麻醉技术行脂肪抽吸术的50岁以上患者135例,对其年龄、部位、手术时间、麻醉用药量、吸出物总量、效果评价等指标综合分析。结果135例患者中最大年龄者70岁,最小50岁。行腹部吸脂者82例,大腿部21例,髂腰及臀部18例,上肢及肩胛区14例。术后满意患者127例,不满意患者8例。发生感染1例,积液3例,凹凸不平患者4例。结论高频电场吸脂术对中老年患者是一种安全、有效的方法。

Objective To explore a safe and effective method of liposuction in the middle aged and elderly. Methods All 135 patients aged ≥50 years undergoing liposuction using the electric and tumescent techniques were analyzed retrospectively. The age of patients, time of the operation, area of the operation, evaluation of effect were recorded. Results Of 135 patients, 82 patients were treated with liposuction of abdomen,21 patients with liposuction of thigh, 18 patients with liposuction of buttock and waist, 14 patients with liposuction of the upper arm and the area of scapula . One hundred and twenty-seven patients got good or excellent results, and 8 cases had unsatisfactory results after operation （1 patient with infection, 3 with seroma formation and 4 with unsatisfactory aspect of skin）. Conclusion The electric and tumescent liposuction is a safe and effective procedure for middle aged and elderly people.