Palmieri B, Bosio P, Catania N, Gozzi G
Cattedra di Semeiotica Chirurgica, Università, Modena.
Recenti Prog Med. 1995 Jun;86(6):220-5.
The safety of ultrasounds lipolysis in the treatment of local obesity and lipodystrophies versus suction lipectomy (less blood loss because of a lower impact on blood vessels network, and less mortality) induced us to combine these mini-invasive techniques in the treatment of obese patients. Between 1991 and 1994 we treated 205 patients (146 females, 59 males, 18-59 range age), affected by 1st degree obesity (44.4%), 2nd degree obesity (27.3%) and 3rd degree obesity (28.3%), accordingly to the following schedule: 1) general anesthesia; 2) subdermal infiltration of the operating sites of a cold sodium chloride (0.9%) epinephrine solution (1:10(5), 8 degrees C); 3) 0.5 cm cutaneous incisions; 4) introduction of titanium tips as ultrasounds source; 5) insertion of suction lipectomy probes to remove the adipose tissue destroyed by ultrasounds; 6) drainage of the wide subcutaneous space; 7) setting of elastic bandages. Mortality was zero and very low side effects have been observed. We report an improvement of blood glucose and triglycerides level and blood pressure 30 days after surgery. Fair late postoperative improvement of the blood glucose tolerance test have been seen in 3 cases.
超声脂解术治疗局部肥胖和脂肪营养不良与抽脂术相比（由于对血管网络的影响较小，失血较少，死亡率较低），促使我们将这些微创技术结合用于肥胖患者的治疗。1991年至1994年间，我们治疗了205例患者（146名女性，59名男性，年龄在18至59岁之间），分别患有一度肥胖（44.4%）、二度肥胖（27.3%）和三度肥胖（28.3%），治疗方案如下：1）全身麻醉；2）在手术部位皮下浸润冷的氯化钠（0.9%）肾上腺素溶液（1:10⁵，8摄氏度）；3）做0.5厘米的皮肤切口；4）插入钛制探头作为超声源；5）插入抽脂术探头以清除被超声破坏的脂肪组织；6）引流宽阔的皮下间隙；7）包扎弹性绷带。死亡率为零，且观察到的副作用非常少。我们报告术后30天血糖、甘油三酯水平和血压有所改善。3例患者术后糖耐量试验后期改善情况良好。
