Vandeweyer Eric
Aesthetic Plast Surg. 2002 Jan-Feb;26(1):17-9. doi: 10.1007/s00266-001-0034-6.
Suction lipectomy is one of the most commonly performed cosmetic procedures that is ideally indicated for the treatment of minimal to moderate localized fat deposits. The safety of the procedure has been addressed regarding patient selection, complications and results. Little is known about the impact of liposuction on lipid metabolism during and immediately after the procedure. Ten consecutive patients operated on for moderate volume liposuction (mean 1470 cc, range 500-2800 cc) were included in the present study. Blood samples analysis were obtained preoperatively (T1), 20 minutes after the beginning of the procedure (T2), one hour (T3), and four hours postoperatively (T4). The levels of total cholesterol, HDL cholesterol, LDL cholesterol,triglycerides, lipoprotein lipase, A1 lipoprotein, and B lipoprotein were measured from T1 to T4. All the values were increased at T2 and T3, but remained under upper normal values and nearly complete return to baseline was observed at T4, underlining the safety of the procedure on a metabolic basis.
抽脂术是最常施行的美容手术之一，理想情况下适用于治疗轻度至中度局部脂肪堆积。该手术的安全性已在患者选择、并发症和效果方面得到探讨。关于抽脂术在手术期间及术后即刻对脂质代谢的影响，人们了解甚少。本研究纳入了连续10例接受中度抽脂量（平均1470立方厘米，范围500 - 2800立方厘米）手术的患者。在术前（T1）、手术开始后20分钟（T2）、1小时（T3）和术后4小时（T4）采集血样进行分析。测定了从T1到T4的总胆固醇、高密度脂蛋白胆固醇、低密度脂蛋白胆固醇、甘油三酯、脂蛋白脂肪酶、A1脂蛋白和B脂蛋白水平。所有值在T2和T3时升高，但仍低于正常上限值，且在T4时几乎完全恢复至基线水平，这突出了该手术在代谢方面的安全性。
