医用电子去脂与手术整形联合治疗腹壁松垂症

Abdominoplasty with a combined technique of lipectomy and liposuction

目的 探讨单纯去脂术与腹壁成形术治疗腹壁脂肪堆积伴腹壁松垂症的优缺点及两者联合应用的互补效果。 方法 设计耻骨联合上 W形切口 ,在肿胀麻醉下用电子去脂机吸出腹壁多余脂肪 ,折叠缝合腹直肌前鞘 ,切除多余皮瓣 ,分层缝合 ,置负压引流 ,弹力绷带加压包扎塑形。 结果2 5例随访 3～ 6个月 ,腹壁平坦 ,腹围缩小 5～ 15 cm。 结论 电子去脂术对血管神经损伤小 ,故吸脂后的皮瓣做腹壁成形术 ,成活有保障。两者结合 。

Objective To evaluate an abdominoplasty technique combined with lipectomy and liposuction Methods Twenty five patients were undergoing for the abdominoplasty with lipectomy and liposuction in the same operation procedure. A pubic incision with W shape was used for the lower abdominal lipectomy, and the upper abdomen was treated with an electronic liposuction technique. After the operation, each patient was followed up for evaluation of the results Result All of the patients got good contour of the abdomen without obvious complications. The abdominal perimeter was shrunk form 5 cm to 15 cm with over 3 months follow ups. Conclusions The combination of lipectomy and liposuction may be a good and safe method for abdominoplsty. the abdominal flap during the lipectomy could achieve higher survival rate than the traditional technique, due to the less injury on the neurovascular structures sustained by the liposuction procedure.