摘要
我们在1983年总结102例脂肪抽吸术的基础上,重温并结合应用解剖,就如何改进手术操作技术,减少失血量,增加抽吸量等进行了研究,并应用于其后的198例,前后两组对比,有明显改善提高。
300 liposuction patients involving 444 anatomical areas are reported in this paper. The clinical siguificance of the applied anatomy and the comparison between groups are anal- yzed. 1. The distribution of the liposuction areas. 2. The distribution of blood vessels in the abdominal wall, buttocks and thighs and its relation to the volume of fat removed as well as blood loss. The blood vessels are so abun- dant in the abdominal wall that the blood loss is larger than that in the buttocks and thighs in the operation. According to the anatomical characteristics of distribution of the blood vessels, the authors pointed out a few 'relatively forbidden areas'. In group 2 we intention- ally avoided doing liposuction in these areas. The results showed that the blood loss was less than that in group 1 aad that the volune of fat removed could obviously be increased. 3. The characteristics of liposuction in severe obesity or in patients over 90kg body weight: ① The aspirate volume is big; the blood versus fat ratio is low. So it is possible to increase the aspirate volume. ② The elasticity of skin of the abdominal wall is very high. It is not necessory to remove skin in very obese patients with abdominal dermochalasis.
