多部位一期肿胀吸脂术

　　【英文篇名】Improvement of multi-site combineation in simple obese patient with tumescent liposuction

　　【作者中文名】朱力；秦荣生；陈育哲；李比；尤维涛；李健宁；

　　【作者英文名】ZHU Li; QIN Rong-sheng; CHEN Yu-zhe; et al. Department of Plastic Surgery; Peking University Third Hospital; Beijing 100083; China;

　　【作者单位】北京大学第三医院成形科; 100083;

　　【文献出处】中华医学美学美容杂志, Chinese Journal of Medical Aesthetics and Cosmetology, 编辑部邮箱 2003年 03期

　　期刊荣誉：

　　【关键词】脂肪切除术；方法；

　　【英文关键词】Lipctomy; Methods;

　　【摘要】目的：探讨多部位一期肿胀吸脂术及几项重要环节改进后的临床意义。方法：在大范围肿胀液注射前，诱导麻醉中速效苯二氮类镇静诱导剂的选择使用，以及调整注液器压力、注液速度及注射层次，以达到降低疼痛反应和提高疼痛耐受性的效果。切口选择的隐蔽性与特殊保护，减少术后瘢痕形成。为了提高皮瓣平整均匀程度，采用手术后期皮瓣外加压和滑动式操作手法，根据受术者不同年龄及不同部位决定保留皮瓣的厚度，并进行将术后开放式引流改为闭式引流的尝试。结果：对73例受术者术后6~24个月随访，除1例腹部瘢痕增生外，其余均对手术效果满意。围度变化：腹部最大围减少3～24cm，大腿最大围减少2～17cm ，臀部最大围减少1～3cm。结论：通过对围手术期关键步骤的改进，提高了多部位一期肿胀吸脂术的综合疗效。

　　【英文摘要】Objective To investigate clinical therapeutic effects after a series of improvements of multi-site combination in the simple obese patient with tumescent liposuction. Methods Before tumescence anesthetization, short-acting benzo-diazepine was used as sedative inducer. The pressure and fluid velocity of short-acting benzodiazepine were regulated and injected into deeper level of fat at first, and all of these actions decreased the pain of patients, and promote the effect of the pain tolerance. The positions