剥离加吸脂技术治疗皮瓣术后臃肿

宋骁军; 韦旭明; 牛耀胜

doi:10.13418/j.issn.1001-165x.2017.04.023

中国临床解剖学杂志 >

2017 , Vol. 35 >Issue 4: 463 - 465

DOI: https://doi.org/10.13418/j.issn.1001-165x.2017.04.023

临床研究

剥离加吸脂技术治疗皮瓣术后臃肿

宋骁军 ,
韦旭明 ,
牛耀胜

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无锡第九人民医院 1.整形科， 2.骨科，江苏无锡 214062

宋骁军（1965-），男，主任医师，主要从事临床整形美容研究，Tel：15251600790，E-mail：2066477889@qq.com

收稿日期: 2016-07-11

网络出版日期: 2017-08-30

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Treatment of postoperative bulky flap with stripping and lipsuction technique

SONG Xiao-jun ,
WEI Xu-ming ,
NIU Yao-shen

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1.Department of Plastic surgery, Wuxi No.9 Hospital, Wuxi 214061, China; 2. Department of Orthopaedics, Wuxi No.9 Hospital, Wuxi 214061, China

Received date: 2016-07-11

Online published: 2017-08-30

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摘要

目的　报道脂肪剥离、吸脂加小切口一次性去脂整形治疗皮瓣术后臃肿的方法。方法　2002年7月至2013年5月共112例患者，在我科接受脂肪剥离及吸脂加小切口一次性去除皮瓣内所有脂肪及筋膜组织。结果　本组112例患者， 111例术后皮瓣血运良好，外观满意，感觉功能早期恢复。仅有1例皮瓣表层坏死，经换药后愈合。本组随访1～10年，无复发。结论　脂肪剥离加吸脂结合小切口去脂治疗皮瓣术后臃肿临床疗效好，操作简单，安全性高，值得临床应用和推广。

关键词： 皮瓣臃肿; ; ; 剥离吸脂; ; ; 小切口去脂

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宋骁军 , 韦旭明 , 牛耀胜 . 剥离加吸脂技术治疗皮瓣术后臃肿[J]. 中国临床解剖学杂志, 2017 , 35(4) : 463 -465 . DOI: 10.13418/j.issn.1001-165x.2017.04.023

Abstract

Objective　To report the treatment of postoperative bulky flap with fat stripping,lipsuction,and little incision technique in one operation.　Methods　The study involved 112 patients with bulky flap by fat stripping, lipsuction, and small incision technique to remove all the fat and fascia on one effort from July 2002 to May 2013.　Results　111 patients achieved sufficient blood supply in flaps. The flaps had excellent contour and sensation with early function recovery. Only 1 flap sustained necrosis in surface. No patient got recurrence during 1～10 years of follow-up.　Conclusions　It has excellent clinical effect of treating bulky flap with fat stripping,lipsuction,and small incision technique. It also has the merits of easy operation,high security and thus is a surgeric method worthy of clinical use.

Key words： Bulky flap; ; stripping； ; Lipsuction; ; Small incision; ; Liposculpture

参考文献

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[7] Reuben CM, Bastidas N, Sharma S.Power-assisted suction lipectomy of fasciocutaneous flaps in the extremities[J]．Ann Plast Surg, 2010, 65(1):60-65.
[8] 孙斌，卢斌，吕文珍．游离植皮法一次性修薄臃肿皮瓣7例[J]．中国医药导报，2010， 7(18)：158．
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