自创皮肤打孔去脂术治疗脂肪堆积270例-第三军医大学学报.docVIP

微创去脂术治疗颈部脂肪堆积270例 邹文胜，赵鲁沂，向福辉，孙琴，谷剑涛 （重庆市丰都县中医院 重庆 丰都 408200） [摘要] 目的 探讨通过自行设计术式无痕去除颈部(前、后)脂肪堆积的疗效。方法 对270例颈部脂肪堆积患者用微创去脂术治疗后的回顾性总结分析。结果 270例均通过自行设计手术方式治疗，260例疗效满意，10例出现并发症，其中1例因先天短颈、术后压迫又不好出现皮肤皱褶，1例皮肤操作口出现较明显小疤痕，3例出现双侧轻度不平整对称，5例出现皮下硬结颗粒（ 后经热敷、注射曲安奈德均得到恢复）。其手术优良率为99％。结论 该手术设计疗效肯定、确切，值得推广；另外术后自行护理必须到位。 [关键词] 自行设计 微创 颈部 脂肪堆积 [中图分类号] R622 The efficacy of self-designed surgery for accumulated fat in the front and back of the neck Zou Wensheng, Zhao Luyi, Xiang Fuhui, Sun Qin, Gu Jiantao (Chongqing?Fengdu?hospital?of?traditional?chinese?medicine,Fengdu408200,Chongqing,China) [Abstract] Objective: to investigate the efficacy of self-designed surgery for accumulated fat in the front and back of the neck. Method: 270 patients were included. All patients was subtracted fat by minimal invasive surgery. Retrospective analysis was used. Result: of 270 patients, curative effect in 260 patients was satisfactory. Complications were observed in 10 patients. One patient occurred skin creases because of short neck and inappropriate oppression after surgery, one patient occurred obvious small scars in the place of operation, 3 patients operating sites was mildly uneven and unsymmetrical, 5 patients appeared subcutaneous particles which was recovered after hot compress and inject triamcinolone acetonide. The excellence rate was 99%. Conclusion: This minimal invasive surgery was effective and safe for subtracting fat in the neck. So this operation was worth to widely use. In addition, self-care after surgery should be appropriate. [keyword] self-designed, minimally invasion, neck, fat accumulation 颈部脂肪堆积的定义：我们将发生于颈部(颈前、颈后单发居多)的非病理性（如甲亢、肿瘤）、较均匀地局部脂肪增多增厚，不伴任何不适但影响美观的的“粗脖子”称作颈部脂肪堆积。常规处理有手术切皮去脂、空针抽吸等方法。我们自2002年9月至2011年10月对270例患者采用0.5cm长的切口碎取脂肪，术后加压包扎，获得极好疗效。 1.临床资料 本组270例，女 269例，男 1例；20岁—30岁120例，30岁—40岁148例，50—53岁2例；单纯颈前部脂肪堆积242例, 颈后部7例，前后合并有21例。病程长短不一，5年—30年不等；术前常规“甲功”检查排除“甲亢”等疾患，有高血压、出血倾向者等心血管疾病为相对禁忌。 2.方法 2.1 治疗方法：颈后脂肪堆积者采用俯卧位，颈前者采用仰卧、颈过伸位，前后合并者先俯卧后仰卧位(目的在于先做后方后可较长时间压迫止血，避免先做前方