医美整形深蓝溶脂基础知识课件.ppt

*Hereyoucanseetherightshiftinthecurvewithanincreasedtemperaturesignifyingmoreoxygenunloading.Adecreaseintemperaturecausesaleftshiftinthecurveandlessoxygendissociation.深蓝热塑溶脂深蓝微波热塑基础（二）皮肤结构Pigmentedlesions色素层Bloodvessels血管层–Upto0.5mm0.5-4.0mmSabeceousglandsAcne皮脂腺，痤疮CollagenFibers胶原纤维Hairfollicles毛囊Cellulitefat桔皮及脂肪Epidermis表皮Dermis真皮Hypodermis皮下组织FatLayer脂肪层AdiposeTissue脂肪组织Hasabundantbloodsupplyprovidedbycomplexself-regulatingmicrovascularnetwork.复杂的微循环网络需要大量的血供Location存在位置:Underskin皮下Inbones骨(adults)WhiteAdipocytes白脂肪AdipocytesClasses脂肪种类白脂肪细胞，内有一大脂滴Whitefatcellandbrownfatcell.Notethesinglelargelipidvacuoleinthewhitefatcell黄脂肪，内有很多小脂滴andthenumeroussmallerlipidvacuolesinthebrownfatcell.

?????????????????????????????????WhiteAdipocytesTissue白脂肪组织Mostadiposetissueiscomposedofwhitefat（大多脂肪属于白脂肪）,whichservestostoretriglyceridesandfattyacidsforthebody‘senergyneeds.供给人体能量需要的甘油三酸脂和脂肪酸脂肪细胞和水大约重量60to85%的白脂肪组织是油脂）,其中90-99%是甘油三酸脂.其余的重量是水(5to30%)and蛋白质(2to3%).

Bodycontouring-UnipolarSharonStonecouldusesomeAccent…..SkinTemperature皮肤温度Thebody‘snormalcoretemperatureisaround37oC.正常体温Thesurfaceskintemperaturevariesbetween28oCtoabout31oC.体表温度?Therefore,toheatthetargettissuestothetherapeuticrangeofbetween40oCto45oC,anincreaseintemperatureofabout9oCto14oCforsubcutaneousfatandabout3oCto8oCfordeepmuscleswouldbeappropriate.?加热靶组织到40-45度，意味着皮下脂肪升温9-14度，深层的肌肉组织升温3-8度。Thermotherapy温热治疗研究者Authors温度范围Temperaturerange效应EffectsLehmananddeLateur(1982)140oCto45oC“therapeuticeffects”治疗效应Kanui(1987)238oCto42oC“substantialanalgesia”无痛LehmananddeLateur(1982)140oCto45oCreducesmusclespasm减轻肌肉痉挛Lehman(1971)341oCproducesminimalchangeincirculation微循环影响小Lehman(1971)345oCproducesmaximalchangeincirculation微循