麦　慧

(广西自治区人民医院烧伤整形外科广西 南宁530021)

麦慧,女,1966年生,1989年毕业于广西医学院医疗系,现任广西自治区人民医院烧伤整形外科副主任、主治医师,中华医学美学与美容学会广西分会委员。发明的"快速隆鼻器"与"隆乳术假体置入器"获国家专利。[摘要]目的:探讨一种低创、快速、确切的吸脂方法。方法:将0.015～0.03%利多卡因肿胀液行皮下快速超量灌注,用高频共振吸脂机将充分肿胀的脂肪振碎,低负压吸出体外,同时计算术中出血量。结果:本组13例术中出血量平均约14ml,占抽出物的0.84%。吸脂快速、彻底,术后皮肤表面平滑,皮肤松驰度明显改善。结论:超低浓度利多卡因皮下超量灌注行指肪共振吸脂是一种操作更简单、更快速、真正低创的吸脂技术。

[关键词]吸脂共振肿胀技术低负压

[中图分类号]R312[文献标识码]A[文章编号]1008-6455(2000)09-0294-03

CLINICAL STUDY OF USING THE LOWER CONCERTRATION

LIDOCAINE IN LIPOSCULTURE WITH TUMESCENT

AND VIBRATION TECHNIQUE

MAI Hui

Depart Burn and plastic Surgery,Guangxi People竤

Hospital(Nanning530021)

[Abstract]Objective:To explore a method of liposuction with mildly trauma quickly and completely.Method:The concentration of 0.015%～0.03% lidocaine was used incoruse of liposculture with tumescent technique,the tumescented fat was broken by vibrating and then drawn through low-attraction.To count the quality of bleeding on Hb pre-operation and after-operation.Results:The liposuction of tumescent and vibration by using lower concentration lidocaine is more easily,quickly and mildly.

[Key words]Liposuction Vibration Tumescent technique Low-attraction

90年代之后随着肿胀技术的应用,减肥吸脂已从原先的干性锐性吸脂进入低创伤吸脂的新阶段。各种吸脂机也应运而生,如电解吸脂、超声吸脂、真空负压吸脂等等。前两者在注重了低创伤的同时却存在吸脂速度太慢,吸脂量少等缺陷;真空负压吸脂的出血仍较大,其低创性还有待探讨。为寻求一种低创而快速、确切的吸脂方法,我院自1999年6月应用超低浓度利多卡因皮下超量灌注与选择性脂肪共振吸脂技术行吸脂术13例,经临床观察表明该方法有吸脂速度快、出血量少、吸脂量大,术后皮肤表面光滑平坦等优点,现报告如下。

1临床资料ケ咀榕性13例,年龄22岁～45岁,体重54kg～68kg。……