体外超声辅助下的脂肪抽吸术

External ultrasoand-assisted liposuction

目的 介绍体外超声辅助下的脂肪抽吸技术的操作要点及 2 0 6例患者的临床体会。方法 运用肿胀麻醉技术进行术区浸润后 ,应用体外超声设备对术区进行体外超声处理 ,能量设置为 3W ;作用时间为 10～ 15min。然后 ,运用传统的脂肪抽吸方法进行吸脂塑形。结果 2 0 6例患者 ,脂肪抽吸量为 2 0 0～ 4 30 0ml,其中有 1例患者发生局部小面积皮肤浅层坏死 ,3例发生血清肿 ,经换药 1～ 2周后痊愈 ,其余患者无严重的并发症发生。 2 0 6例患者均获得较明显的吸脂塑形效果 ,吸脂后术区皮肤均有一定程度的回缩。结论 体外超声波辅助下的脂肪抽吸术安全可靠、易于掌握 ,其对脂肪的乳化作用有利于脂肪的吸出 。

Objective To introduce the key point of the technique of external ultrosoand-assisted liposuction by presenting the experience of clinical application of this technique in 206 cases. Methods After tumescent technique was applied in the operative areas, the external ultrasonic equipment was used in the areas. The ultrasoand energy output was set at 3?W, functioning 10～15?min. Then traditional mechanical lipoplastic technique was applied and the contour of the body was shaped. Results The efficacy of fat removing and contour shaping by this technique in our 206 cases was obvious. The volume of aspired fat varied from 200?ml to 4?300?ml. One complication occured in a patient who had a 3?cm superficial skin burn of the abdominal wall. The other complication seen were seroma in three cases. The 4 cases with complications mentioned above were cured by wound dressing in 1～2 weeks. No serious complication happened in our experiences. All patients got some skin shrinkage in this group. Conclusion External ultrasoand-assisted liposuction is a safe and reliable technique. It is easy to learn and control, and it is benefit for fat removal and skin shrinkage.