CAJ | 학술논문

目的：探讨脂肪抽吸与腹壁成形术联合进行腹壁体形重塑的临床疗效，总结手术成功与减少并发症的经验。方法对18例腹部脂肪堆积伴腹壁皮肤松弛的患者采用肿胀麻醉，负压吸引器行腹壁脂肪抽吸；做耻骨联合上 W 形切口，折叠缝合腹直肌前鞘，切除多余皮瓣后分层缝合腹壁。结果所有切口均Ⅰ期愈合，随访4～24个月，腹部平坦，切口瘢痕不明显，腹围平均缩小15 cm，外形满意。结论根据患者腹部皮肤、皮下脂肪、腹壁肌肉等多方面的情况，有针对性的采用脂肪抽吸与腹壁整形相结合的腹壁体形重塑术，能够获得满意的效果，手术方法安全可靠。
목적：탐토지방추흡여복벽성형술연합진행복벽체형중소적림상료효，총결수술성공여감소병발증적경험。방법대18례복부지방퇴적반복벽피부송이적환자채용종창마취，부압흡인기행복벽지방추흡；주치골연합상 W 형절구，절첩봉합복직기전초，절제다여피판후분층봉합복벽。결과소유절구균Ⅰ기유합，수방4～24개월，복부평탄，절구반흔불명현，복위평균축소15 cm，외형만의。결론근거환자복부피부、피하지방、복벽기육등다방면적정황，유침대성적채용지방추흡여복벽정형상결합적복벽체형중소술，능구획득만의적효과，수술방법안전가고。
Objective To study the clinical effects of combined liposuction and abdominoplasty in reshaping abdominal contour and summarize successful operative experience in reducing complications. Methods All 18 patients with abdominal fat accumulation and abdominal wall skin flabby received sur-gery.Abdominal liposuction was performed by vacuum aspiration with tumescent anesthesia technique. AW-shape incision was used above symphysis pubica,placation of the anterior rectus sheath was per-formed,and the excess abdominal skin was resected.Results All the incision healings were in stageⅠ. After a follow-up for 4 ~24 months,the abdomen becameflat,incision scar was not obvious,and the ab-dominal perimeter was shrunk by 15 cm on average.All the patients were satisfied with the results.Con-clusion According to the abdominal skin,subcutaneous fat,abdominal muscles,and other factors,targe-ted use of liposuction and abdominoplasty combination in abdominal body reshaping surgery can obtain satisfactory results.It is safe and worthy of being used widely.