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提出的多体位环形臂脂肪抽吸方法的应用及其临床疗效评价的量化。

Application of a Proposed Multi-Positional Circumferential Arm Liposuction Method and Quantification of its Clinical Efficacy Evaluation.

机构信息

The 15th Department, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33, BaDaChu Road, Shijingshan District, Beijing, 100144, China.

Research Center of Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, No. 33, BaDaChu Road, Shijingshan District, Beijing, 100144, China.

出版信息

Aesthetic Plast Surg. 2021 Jun;45(3):1115-1124. doi: 10.1007/s00266-020-02121-2. Epub 2021 Feb 2.

Abstract

BACKGROUND

Upper arm liposuction mainly focuses on the posterolateral region, which may lead to a lack of harmony between the aspirated and unaspirated areas. In addition, the treatment effect of arm liposuction is often evaluated only by preoperative and postoperative photograph comparison and simple measurement; quantitative research on this topic is still lacking.

METHODS

The multi-positional circumferential arm liposuction (MCAL) technique was proposed and applied to a total of 34 females in our hospital from 2017 to 2019. Three-dimensional data of 12 patients before the operation and after 2-3 months were collected and processed by 3D imaging, and the volume reduction rate was evaluated quantitatively.

RESULTS

The MCAL method was successfully applied in the clinic, and its surgical effect was quantitatively studied. The mean follow-up time of 12 patients was (75.2 ±13.1) days, and the postoperative volume was significantly reduced. The postoperative volume of patients with type I, type II and type III decreased by (10.79 ±2.55)%, (17.25 ±3.02)% and (22.76 ±3.51)%, respectively.

CONCLUSION

Our new MCAL technique was successful, maximizing the esthetic results in upper limb contour refinements in the superficial fascial layer. The clinical efficacy of this proposed MCAL method was evaluated by CT and 3D digital technology, which provided further accuracy in demonstrating its effect on the shape of the arm.

LEVEL OF EVIDENCE IV

This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors https://www.springer.com .

摘要

背景

上臂脂肪抽吸术主要集中在 posterolateral 区域,这可能导致抽吸区域和未抽吸区域之间缺乏协调性。此外,手臂脂肪抽吸术的治疗效果通常仅通过术前和术后照片比较和简单测量来评估;对此主题的定量研究仍然缺乏。

方法

提出了多位置环形手臂脂肪抽吸术(MCAL)技术,并于 2017 年至 2019 年在我院共对 34 名女性进行了应用。收集并通过 3D 成像处理了 12 名患者术前和术后 2-3 个月的 12 名患者的三维数据,并对体积减少率进行了定量评估。

结果

MCAL 方法在临床上成功应用,并对其手术效果进行了定量研究。12 例患者的平均随访时间为(75.2±13.1)天,术后体积明显减少。I 型、II 型和 III 型患者的术后体积分别减少了(10.79±2.55)%、(17.25±3.02)%和(22.76±3.51)%。

结论

我们的新 MCAL 技术是成功的,最大限度地提高了上肢轮廓浅层筋膜层的美学效果。通过 CT 和 3D 数字技术对提出的 MCAL 方法的临床疗效进行了评估,为展示其对手臂形状的影响提供了进一步的准确性。

证据水平 IV:本杂志要求作者为每篇文章分配一个证据水平。有关这些循证医学评级的完整描述,请参阅目录或在线作者指南 https://www.springer.com

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/151b/8144089/894f264f911a/266_2020_2121_Fig1_HTML.jpg

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