Dillerud E, Håheim L L
Fornebu Clinic, Ullevål Hospital, University of Oslo, Norway.
Plast Reconstr Surg. 1993 Jul;92(1):35-42. doi: 10.1097/00006534-199307000-00005.
A questionnaire was sent to 1339 consecutive patients who had undergone blunt suction lipectomy during the period between April 1984 and April 1987. Seventy-four percent replied, thus providing information about the results of 1929 procedures. The overall reported rate of satisfaction was 76 percent, with no significant difference between males and females. Highest satisfaction referred to pseudogynecomastia, submental area, iliac crest, and lower extremities on females. The rate of dissatisfaction was 6 percent. Dissatisfaction was associated most frequently with lipectomy of the buttocks. Underresection was reported for 30 percent and over-resection for 2.2 percent of the procedures. The latter, in particular, seemed to lead to dissatisfied patients. Asymmetry was reported for 19 percent of the procedures. Recurrence ("return") of fatty tissue was reported for 29 percent at the resection site. Thirty percent of the patients reported compensatory increase ("came back elsewhere") in fat deposits in nontreated locations. Self-reported weight gain was found to be a significant risk factor for both types of "regrowth." Irregularities were the most frequently reported permanent changes to skin. There were twice as many negative as positive changes to skin. Most of the patients had benefited personally from the surgery and were willing to consider undergoing lipoplasty again. All in all, the long-term results of blunt suction lipectomy are satisfactory.
向1984年4月至1987年4月期间连续接受钝性吸脂术的1339例患者发送了一份调查问卷。74%的患者进行了回复，从而提供了有关1929例手术结果的信息。总体报告的满意率为76%，男性和女性之间无显著差异。最高满意率出现在女性的假性男性乳房、颏下区域、髂嵴和下肢。不满意率为6%。最常与臀部吸脂术相关。30%的手术报告存在切除不足，2.2%的手术报告存在切除过度。尤其是后者，似乎会导致患者不满意。19%的手术报告存在不对称情况。29%的患者报告切除部位出现脂肪组织复发（“复发”）。30%的患者报告未治疗部位的脂肪堆积出现代偿性增加（“在其他部位出现”）。自我报告的体重增加被发现是两种“再生长”类型的重要风险因素。不规则是最常报告的皮肤永久性变化。皮肤的负面变化是正面变化的两倍。大多数患者个人从手术中受益，并愿意考虑再次接受脂肪成形术。总而言之，钝性吸脂术的长期效果令人满意。
