Hexsel D M, Dal'forno T, Hexsel C L
School of Medicine, University of Passo Fundo, Passo Fundo, Brazil.
J Eur Acad Dermatol Venereol. 2009 May;23(5):523-8. doi: 10.1111/j.1468-3083.2009.03101.x. Epub 2009 Feb 13.
With recent advances in the treatment of cellulite and localized fat, a comprehensive objective method of measuring cellulite can be potentially useful, especially since important morphological aspects of cellulite are not part of the current classification. Objective To develop and to validate a new photonumeric cellulite severity.
Based on standardized photographs of 55 patients with cellulite, five key morphological aspects of cellulite were identified. A new photonumeric severity scale was developed and validated.
The five key morphological features of cellulite were identified and included the number of depressions, depth of depressions, clinical appearance of evident raised lesions, and presence of flaccidity and the grade of cellulite. Each item was graded from 0 to 3, allowing final classification of cellulite as mild, moderate, and severe. Results for validation of the scale are statistically significant (P < 0.05) and are as follows: intraclass correlation coefficient > 0.7; correlation item-total > 0.7, with the exception of the right buttock; intraclass correlation coefficients 0.881-0.922; Cronbach's alpha 0.851-0.989 and factor analysis 68-76%.
The proposed photonumeric scale is a consistent, comprehensive, reliable, and reproducible tool for the standardized and objective assessment of the severity of cellulite. Conflicts of interest The authors hereby affirm that neither the manuscript nor any part of it has been published or is being considered for publication elsewhere.
随着近期在橘皮组织和局部脂肪治疗方面的进展，一种全面客观的橘皮组织测量方法可能会很有用，特别是因为橘皮组织的重要形态学方面并非当前分类的一部分。目的是开发并验证一种新的数字式橘皮组织严重程度评估方法。
基于55例橘皮组织患者的标准化照片，确定了橘皮组织的五个关键形态学方面。开发并验证了一种新的数字式严重程度量表。
确定了橘皮组织的五个关键形态学特征，包括凹陷数量、凹陷深度、明显隆起病变的临床表现、松弛情况以及橘皮组织等级。每个项目从0到3分级，从而可将橘皮组织最终分类为轻度、中度和重度。该量表验证结果具有统计学意义（P<0.05），如下：组内相关系数>0.7；项目与总分的相关性>0.7，但右臀部除外；组内相关系数为0.881 - 0.922；克朗巴哈系数为0.851 - 0.989，因子分析为68 - 76%。
所提出的数字式量表是一种用于标准化和客观评估橘皮组织严重程度的一致、全面、可靠且可重复的工具。利益冲突 作者特此声明，该手稿及其任何部分均未在其他地方发表或正在考虑在其他地方发表。
