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《肿胀局麻吸脂术预防脂肪水肿进展:国际共识会议结果》。

Prevention of Progression of Lipedema With Liposuction Using Tumescent Local Anesthesia: Results of an International Consensus Conference.

机构信息

Linz, Austria.

Laser and Skin Surgery Center of Indiana, Indianapolis, Indiana.

出版信息

Dermatol Surg. 2020 Feb;46(2):220-228. doi: 10.1097/DSS.0000000000002019.

DOI:10.1097/DSS.0000000000002019
PMID:31356433
Abstract

BACKGROUND

Lipedema is a chronic, progressive disorder of subcutaneous adipose tissue that usually affects the lower extremities of women. Also known as "two-body syndrome," the fat accumulations in lipedema are unsightly and painful. The disorder is well-known in Europe but is largely unrecognized and underdiagnosed in the United States.

OBJECTIVE

To hold the First International Consensus Conference on Lipedema with the purpose of reviewing current European guidelines and the literature regarding the long-term benefits that have been reported to occur after lymph-sparing liposuction for lipedema using tumescent local anesthesia.

METHODS

International experts on liposuction for lipedema were convened as part of the First International Congress on Lipedema in Vienna, Austria, June 9 to 10, 2017.

RESULTS

Multiple studies from Germany have reported long-term benefits for as long as 8 years after liposuction for lipedema using tumescent local anesthesia.

CONCLUSION

Lymph-sparing liposuction using tumescent local anesthesia is currently the only effective treatment for lipedema.

摘要

背景

脂肪营养不良是一种慢性、进行性的皮下脂肪组织疾病,通常影响女性的下肢。脂肪营养不良也被称为“双体型综合征”,其脂肪堆积不仅影响美观,而且还会引起疼痛。该疾病在欧洲广为人知,但在美国却未被广泛认识和诊断。

目的

召开第一届国际脂肪营养不良共识会议,旨在回顾目前的欧洲指南和文献,这些指南和文献涉及使用肿胀局部麻醉的吸脂术治疗脂肪营养不良的长期益处。

方法

国际吸脂术治疗脂肪营养不良专家作为维也纳第一届国际脂肪营养不良大会的一部分于 2017 年 6 月 9 日至 10 日在奥地利维也纳举行会议。

结果

德国的多项研究报告称,使用肿胀局部麻醉的吸脂术治疗脂肪营养不良后长达 8 年的时间里,患者的病情均有长期获益。

结论

肿胀局部麻醉吸脂术是目前治疗脂肪营养不良的唯一有效方法。

相似文献

1
Prevention of Progression of Lipedema With Liposuction Using Tumescent Local Anesthesia: Results of an International Consensus Conference.《肿胀局麻吸脂术预防脂肪水肿进展:国际共识会议结果》。
Dermatol Surg. 2020 Feb;46(2):220-228. doi: 10.1097/DSS.0000000000002019.
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High Volume Liposuction in Tumescence Anesthesia in Lipedema Patients: A Retrospective Analysis.《肿胀麻醉下大容量吸脂术治疗脂肪水肿患者:回顾性分析》
J Drugs Dermatol. 2021 Mar 1;20(3):326-334. doi: 10.36849/JDD.5828.
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Evaluation of Long-Term Outcome and Patient Satisfaction Results After Tumescent Liposuction.肿胀吸脂术后长期疗效和患者满意度评估。
Dermatol Surg. 2020 Oct;46 Suppl 1:S31-S37. doi: 10.1097/DSS.0000000000002498.
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Cause and management of lipedema-associated pain.脂性水肿相关疼痛的病因和处理。
Dermatol Ther. 2021 Jan;34(1):e14364. doi: 10.1111/dth.14364. Epub 2020 Oct 12.
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Treatment of lipedema by low-volume micro-cannular liposuction in tumescent anesthesia: Results in 111 patients.肿胀麻醉下小容量微管吸脂术治疗脂肪水肿:111 例患者的结果。
Dermatol Ther. 2019 Mar;32(2):e12820. doi: 10.1111/dth.12820. Epub 2019 Jan 30.
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[Microcannular liposuction in tumescent anesthesia in lipedema patients: an analysis of 519 liposuctions].[微套管抽脂术在脂性水肿患者肿胀麻醉中的应用:519例抽脂术分析]
Wien Med Wochenschr. 2023 Sep;173(11-12):290-298. doi: 10.1007/s10354-023-01017-5. Epub 2023 Jun 14.
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Safe extensive tumescent liposuction with segmental infiltration of lower concentration lidocaine under monitored anesthesia care.在麻醉监护下采用低浓度利多卡因分段浸润进行安全的大面积肿胀吸脂术。
Ann Plast Surg. 2015 Jan;74(1):6-11. doi: 10.1097/SAP.0b013e3182933de7.
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Tumescent liposuction: standard guidelines of care.肿胀吸脂术:护理标准指南
Indian J Dermatol Venereol Leprol. 2008 Jan;74 Suppl:S54-60.
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Tumescent anesthesia with a lidocaine dose of 55 mg/kg is safe for liposuction.利多卡因剂量为55毫克/千克的肿胀麻醉用于吸脂手术是安全的。
Dermatol Surg. 1996 Nov;22(11):921-7. doi: 10.1111/j.1524-4725.1996.tb00634.x.

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An Advanced Pneumatic Compression Therapy System Improves Leg Volume and Fluid, Adipose Tissue Thickness, Symptoms, and Quality of Life and Reduces Risk of Lymphedema in Women with Lipedema.一种先进的气动压迫治疗系统可改善腿部体积、液体、脂肪组织厚度、症状和生活质量,并降低脂肪性水肿女性患淋巴水肿的风险。
Life (Basel). 2025 Apr 30;15(5):725. doi: 10.3390/life15050725.
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Lipedema: Clinical Features, Diagnosis, and Management.脂肪性水肿:临床特征、诊断与管理
Arch Plast Surg. 2025 May 15;52(3):185-196. doi: 10.1055/a-2530-5875. eCollection 2025 May.
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Physiotherapy Intervention in the Immediate Postoperative Phase of Lipedema Surgery-Observational Study.
脂肪水肿手术术后即刻阶段的物理治疗干预——观察性研究
J Clin Med. 2025 Mar 21;14(7):2137. doi: 10.3390/jcm14072137.
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Transcriptomics of Subcutaneous Tissue of Lipedema Identified Differentially Expressed Genes Involved in Adipogenesis, Inflammation, and Pain.脂肪性水肿皮下组织的转录组学鉴定出参与脂肪生成、炎症和疼痛的差异表达基因。
Plast Reconstr Surg Glob Open. 2024 Nov 8;12(11):e6288. doi: 10.1097/GOX.0000000000006288. eCollection 2024 Nov.
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A retrospective comparative study of patient-reported outcome measures, pre-treatment and twelve months post-treatment using tumescent liposuction for the management of lower limb lipoedema.一项回顾性比较研究,采用肿胀吸脂术治疗下肢脂肪水肿,对患者报告的治疗前和治疗后十二个月的疗效指标进行评估。
JPRAS Open. 2024 Jun 4;41:285-294. doi: 10.1016/j.jpra.2024.05.007. eCollection 2024 Sep.
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Lipedema associated with Skin Hypoperfusion and Ulceration: Soft Tissue Debulking Improving Skin Perfusion.与皮肤灌注不足和溃疡相关的脂肪性水肿:软组织减容改善皮肤灌注。
Arch Plast Surg. 2024 Mar 4;51(3):311-316. doi: 10.1055/a-2181-8469. eCollection 2024 May.
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Management of Lipedema Beyond Liposuction: A Case Study.抽脂术之外的脂肪性水肿管理:一项案例研究
Aesthet Surg J Open Forum. 2023 Sep 22;5:ojad088. doi: 10.1093/asjof/ojad088. eCollection 2023.
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Healthcare (Basel). 2023 Jul 13;11(14):2020. doi: 10.3390/healthcare11142020.
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Lymphatic Improvement after Suction-assisted Lipectomy in a Lipedema Patient.抽脂辅助吸脂术后脂肪性水肿患者的淋巴改善情况
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[Microcannular liposuction in tumescent anesthesia in lipedema patients: an analysis of 519 liposuctions].[微套管抽脂术在脂性水肿患者肿胀麻醉中的应用:519例抽脂术分析]
Wien Med Wochenschr. 2023 Sep;173(11-12):290-298. doi: 10.1007/s10354-023-01017-5. Epub 2023 Jun 14.