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肿胀麻醉下外超声与非超声吸脂术的比较研究 被引量:10

Comparative study of external ultrasonic tumescent liposuction and traditional tumescent liposuction
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摘要 目的 比较肿胀麻醉法下的外超声吸脂与单纯负压吸脂术的差别 ,以探讨外超声吸脂术的优点。方法 将 10例吸脂者的腹部均分为左右两侧 ,在肿胀麻醉下一侧行外超声吸脂 ,另一侧行单纯负压吸脂 ,比较吸脂效果并分析吸出物。结果 临床吸脂患者中 ,外超声作用侧所吸出的上层脂肪占总吸出量的百分比大于非超声吸脂侧 (P <0 .0 0 1) ;吸出物中外超声吸脂侧血红蛋白浓度低于非超声吸脂侧 (P <0 .0 0 1) ;三酰甘油浓度高于非超声吸脂侧 (P <0 .0 0 1) ;血红蛋白与三酰甘油的比值低于非超声侧 (P <0 .0 0 1)。提示外超声吸脂明显较非超声吸脂术脂肪乳化好 ,出血亦少 ,且操作省力、术后并发症轻、皮肤收缩效果好。结论 外超声吸脂术是一种去除局部堆积脂肪的更为安全、有效的方法。 Objective To discuss the benefits of the external ultrasonic liposuction through comparing the different effects of external ultrasonic tumescent liposuction and simple negative pressure liposuction. Methods The clinical effects of ten patients were compared, in which one side of abdomen was treated with external ultrasonic tumescent liposuction, and the other side with tumescent liposuction and the aspirates were analyzed. Results The percentage of supernatant fat in the whole aspirated volume on the ultrasonic treated sides was higher than that of non ultrasonic treated sides ( P <0.001); the lipoaspirates from the external ultrasound assisted liposuction showed lower hemoglobin and higher triglyceride values than that of traditional liposuction ( P <0.001); the ratio of hemoglobin to triglyceride was lower in the external ultrasound assisted group in comparison with the traditional method( P <0.001). It also showed less blood loss and more fat emulsificated in the regions pretreated with external ultrasound energy. The surgeon noted easier cannula maneuverability on the external ultrasound side. Patients had an improved postoperative course, with less complications and more skin retraction. Conclusion External ultrasonic lipoplasty is a safe, effective method for the removal of localized fat.[
出处 《中华医学美学美容杂志》 2002年第4期188-190,共3页 Chinese Journal of Medical Aesthetics and Cosmetology
关键词 肿胀麻醉技术 脂肪抽吸术 超声波 Tumescent technique Liposuction Ultrasonic
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参考文献12

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