Schmeller Wilfried, Meier-Vollrath Ilka
Hanse-Clinic, Clinic for Liposuction, Esthetic Dermatology and Surgery, Luebeck, Germany.
J Cutan Med Surg. 2006 Jan-Feb;10(1):7-10. doi: 10.1007/7140.2006.00006.
Lipedema is a rare and painful disease in women. Until recently, it could be treated only by conservative methods (combined physical therapy).
To determine the efficacy and safety of surgery (liposuction) concerning appearance and associated complaints.
Twenty-eight patients, who had undergone conservative therapy over a period of years, were treated by liposuction under tumescent local anesthesia with vibrating microcannulas. Twenty-one could be reevaluated after an average of 12.2 (1-26) months.
All showed great improvement, with normalization of body proportions. Additionally, spontaneous pain, sensitivity to pressure, and bruising either disappeared completely or improved markedly. Other than minor swelling for a few days, no complications could be observed following surgery. All patients reported a tremendous increase in their quality of life. Physical therapy had to be continued to a much lower degree.
Tumescent liposuction has proved to be a safe and effective treatment for lipedema.
脂肪性水肿是一种女性罕见的疼痛性疾病。直到最近，它只能通过保守方法（联合物理治疗）进行治疗。
确定手术（吸脂术）在外观及相关症状方面的疗效和安全性。
28例多年来接受保守治疗的患者，在肿胀局麻下使用振动微套管进行吸脂术治疗。其中21例在平均12.2（1 - 26）个月后可进行重新评估。
所有患者均有显著改善，身体比例恢复正常。此外，自发疼痛、压痛和瘀伤要么完全消失，要么明显改善。术后除了几天的轻微肿胀外，未观察到其他并发症。所有患者均报告生活质量大幅提高。物理治疗的程度也大幅降低。
肿胀吸脂术已被证明是治疗脂肪性水肿的一种安全有效的方法。
