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三切口与多切口大腿脂肪抽吸术的临床疗效观察

Clinical efficacy observation of thigh liposuction with three or multiple incisions
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摘要 目的观察应用3个切口与多个切口(即4~6个切口)行大腿脂肪抽吸术的临床疗效。方法共纳入大腿脂肪抽吸术患者64例,其中采用3个切口者37例,多个切口者27例。切口通常位于会阴部与臀部下皱襞,膝关节周围偶有附加切口。随访不短于3个月,由2名医师对大腿外形改善程度和切口瘢痕隐蔽性进行评分。结果 3个切口组中有14例患者完成门诊复诊,大腿外形改善程度评分为(2.4±0.1)分,切口隐蔽性评分为为(3.0±0.1)分;多切口组中有9例患者完成了门诊复诊,大腿外形改善程度评分为(2.1±0.1)分,切口隐蔽性评分为(2.2±0.1)分。两组外形改善满意度比较,差异无统计学意义(P=0.2);但3个切口组的切口瘢痕隐蔽性评分明显高于多个切口组,其差异有统计学意义(P<0.001)。结论应用3个切口行大腿脂肪抽吸术,其切口隐蔽性较好,患者易于接受,值得临床推广应用。 Objective To observe the clinical curative effect of thigh liposuction with three incisions versus multiple incisions(4-6).Methods Sixty-four patients who underwent thigh liposuction were enrolled in this study.Among these patients,there were 37 cases with 3 incisions and 27 cases with multiple incisions.These incisions were usually located in perineal regions and in inferior folds of buttocks,and occasional additional incisions were located around the knee joints.The following up was more than 3 months,and the degree of improvement of the thigh contour and the concealment of the incision scar were scored by two physicians.Results Fourteen patients with 3 incisions completed outpatient revisit.The degree of improvement score of the thigh contour was(2.4±0.1),and the concealment of the incision scar was(3.0±0.1).Nine patients with multiple incisions completed outpatient revisit.The degree of improvement score of the thigh contour was(2.1±0.1),and the concealment of the incision scar was(2.2±0.1).There was no significant difference in the degree of improvement of the thigh contour between the two groups(P=0.2).However,the score of the concealment of the incision scar in patients with 3 incisions was significantly higher than those with multiple incisions(P<0.001).Conclusion Because of the concealed incision scar,thigh liposuction with 3 incisions is an acceptable operation for patients.It is a viable method to promote in clinic.
作者 王春虎 李芯 李洁 王梦 杨晓宁 马继光 李发成 WANG Chun-hu;LI Xin;LI Jie;WANG Meng;YANG Xiao-ning;MA Ji-guang;LI Fa-cheng(The 17th Department of Plastic Surgery,Plastic Surgery Hospital of Chinese Academy of Medical Sciences and Peking Union Medical College,Beijing 100144,China)
出处 《中国美容整形外科杂志》 CAS 2019年第4期245-247,259共4页 Chinese Journal of Aesthetic and Plastic Surgery
关键词 脂肪抽吸术 脂肪组织 大腿 体型雕塑 瘢痕 Liposuction Adipose tissue Thigh Body contouring Scar
作者简介 通信作者:马继光,Email:majiguang@psh.pumc.edu.cn;通信作者:李发成,Email:drlfc@sina.com
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