Leawood, Kan. From private practice.
Plast Reconstr Surg. 2012 Apr;129(4):965-978. doi: 10.1097/PRS.0b013e318244237f.
Patient-reported data, including effects on quality of life, have not been previously prospectively evaluated in liposuction patients, or in abdominoplasty patients treated simultaneously with liposuction. This prospective outcome study was undertaken to evaluate and compare liposuction and abdominoplasty from the patient's perspective.
From 2002 to 2007, in-person interviews were conducted with 360 patients who attended a follow-up appointment at least 1 month after surgery, from a total of 551 consecutive patients treated with ultrasonic liposuction and/or abdominoplasty (response rate, 65.3 percent). Questions were asked in six categories: patient data, indications, recovery, results, complications, and psychological effects. Responses were analyzed in three groups: liposuction alone (n = 219), combined liposuction and abdominoplasty (n = 128), and abdominoplasty alone (n = 13).
For most recovery indices, liposuction patients recovered significantly more quickly than lipoabdominoplasty patients (p ≤ 0.01) and had less discomfort (pain ratings, 6.1 of 10 and 7.5 of 10, respectively; p < 0.001). The result ratings for lipoabdominoplasty (9.0 of 10) and abdominoplasty (8.7 of 10) were higher than for liposuction alone (7.8 of 10; p < 0.001). Overall, 85.8 percent of patients reported improved self-esteem and 69.6 percent reported an improved quality of life.
: Liposuction and abdominoplasty, either alone or in combination, provide high levels of patient satisfaction (88.8 percent overall). The combined procedure is similar in discomfort level to abdominoplasty alone (both 7.5 of 10) and produces the highest level of patient satisfaction (99.2 percent), with 97.6 percent of patients saying they would undergo the operation again and 99.2 percent recommending it to others.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, II.
此前，尚未前瞻性评估吸脂患者或同时接受吸脂治疗的腹部整形患者的患者报告数据，包括对生活质量的影响。本前瞻性结果研究旨在从患者角度评估和比较吸脂术和腹部整形术。
2002 年至 2007 年，对 551 例连续接受超声吸脂术和/或腹部整形术治疗的患者中的 360 例（应答率 65.3%）进行了面对面访谈，这些患者在手术后至少 1 个月时参加了随访预约。问题分为六大类：患者数据、适应证、恢复情况、结果、并发症和心理影响。分析分为三组：单纯吸脂组（n=219）、吸脂联合腹部整形组（n=128）和单纯腹部整形组（n=13）。
对于大多数恢复指标，吸脂患者的恢复速度明显快于吸脂联合腹部整形患者（p≤0.01），且不适感较低（疼痛评分分别为 6.1 和 7.5；p<0.001）。吸脂联合腹部整形（9.0/10）和腹部整形（8.7/10）的结果评分均高于单纯吸脂（7.8/10；p<0.001）。总体而言，85.8%的患者报告自尊心提高，69.6%报告生活质量提高。
单纯吸脂术或联合腹部整形术均能获得较高的患者满意度（总体 88.8%）。联合手术的不适感与单纯腹部整形术相似（均为 7.5/10），但患者满意度最高（99.2%），97.6%的患者表示会再次接受该手术，99.2%的患者会推荐给他人。
临床问题/证据水平：治疗性，II 级。
