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有抽脂和无抽脂情况下激光溶脂对臂围的影响:一项系统评价与荟萃分析

Impact of Laser Lipolysis With and Without Liposuction on Arm Circumference: A Systematic Review and Meta-Analysis.

作者信息

Wong Zhen Yu, Murugan Veylamuthen, Wong Zhen Ning, Danpanichkul Pojsakorn, Faderani Ryan, Kanapathy Muholan, Mosahebi Afshin

出版信息

Aesthet Surg J Open Forum. 2025 Sep 8;7:ojaf097. doi: 10.1093/asjof/ojaf097. eCollection 2025.

Abstract

Laser-assisted lipolysis (LAL) for arm fat reduction has gained popularity compared with traditional liposuction. The authors of this study aim to quantify changes in arm circumference through LAL and compare outcomes between treatments with and without suction. A Preferred Reporting Items for Systematic Reviews and Meta-Analyses-compliant systematic review was conducted from inception until May 2024, and meta-analysis was performed using Stata. Mean differences in arm circumference were pooled using the DerSimonian and Laird random-effects model. Out of 135 screened studies, 7 were included in the analysis. The pooled arm circumference reduction ( = 199) was 2.95 cm ( < .001, 95% CI, 1.50-4.41). Subgroup analysis revealed that the reduction with suction was 3.39 cm ( = .078, 95% CI, -0.38 to 7.16), and without suction, it was 2.04 cm ( = .022, 95% CI, 0.30-3.78). Overall, both clinicians and patients reported high satisfaction levels with the treatment, although satisfaction was notably lower among patients with more advanced conditions. Reported complications were mild and transient, including instances of ecchymosis and prolonged edema. Although the current evidence is limited by small sample size, the safety profile of LAL is favorable and the outcomes are promising. Further studies are needed to validate these findings. .

摘要

与传统抽脂术相比,激光辅助脂肪分解术(LAL)用于减少手臂脂肪越来越受欢迎。本研究的作者旨在通过LAL量化手臂周长的变化,并比较有抽吸和无抽吸治疗之间的结果。从开始到2024年5月进行了一项符合系统评价和Meta分析的首选报告项目的系统评价,并使用Stata进行Meta分析。使用DerSimonian和Laird随机效应模型汇总手臂周长的平均差异。在135项筛选研究中,7项纳入分析。汇总的手臂周长减少量(n = 199)为2.95厘米(P < .001,95%CI,1.50 - 4.41)。亚组分析显示,有抽吸的减少量为3.39厘米(P = .078,95%CI, - 0.38至7.16),无抽吸的减少量为2.04厘米(P = .022,95%CI,0.30 - 3.78)。总体而言,临床医生和患者对该治疗均报告了较高的满意度,尽管病情较严重的患者满意度明显较低。报告的并发症轻微且短暂,包括瘀斑和持续性水肿。尽管目前的证据受样本量小的限制,但LAL的安全性良好且结果很有前景。需要进一步研究来验证这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/174c/12415858/a586f3cab89d/ojaf097f1.jpg

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