Fodor P B, Watson J
Division of Plastic and Reconstructive Surgery at the University of California, Los Angeles School of Medicine, USA.
Plast Reconstr Surg. 1998 Apr;101(4):1103-16; discussion 1117-9. doi: 10.1097/00006534-199804040-00034.
Body contouring with traditional suction-assisted lipoplasty is currently the most commonly performed aesthetic surgical procedure. In competent hands, traditional lipoplasty has a low complication rate, a short recovery period, and a high patient satisfaction rate. Body contouring with ultrasound-assisted lipoplasty has recently gained considerable attention, and its proponents have claimed many benefits over the traditional method. This pilot study consists of one surgeon's clinical experience with ultrasound-assisted lipoplasty in 100 cases. In 63 of these patients, ipsilateral traditional lipoplasty and contralateral ultrasound-assisted lipoplasty were done on one or more body areas. These patients were blinded in the study. Complication rates, lipocrits from the aspirate, postoperative ecchymosis, postoperative swelling, patient satisfaction, and surgeon satisfaction were then compared for each patient studied. Ten randomly selected patients were also evaluated by an independent panel of reviewers who compared ecchymosis and swelling in ultrasound-assisted versus traditional lipoplasty-treated areas. Their observations in this subset of 10 patients were subjected to statistical analysis. This initial pilot study failed to prove most of the benefits attributed to ultrasound-assisted lipoplasty by other surgeons. However, the method is an evolving technology, and the authors remain optimistic about the role of ultrasound in body sculpting surgery.
采用传统的吸脂辅助脂肪抽吸术进行身体塑形是目前最常施行的美容外科手术。在技术娴熟的医生手中，传统脂肪抽吸术并发症发生率低、恢复期短且患者满意度高。超声辅助脂肪抽吸术进行身体塑形最近受到了广泛关注，其支持者宣称该方法相较于传统方法有诸多优势。这项初步研究包含了一位外科医生对100例超声辅助脂肪抽吸术的临床经验。在这些患者中，有63例在一个或多个身体部位一侧进行传统脂肪抽吸术，另一侧进行超声辅助脂肪抽吸术。这些患者在研究中处于盲态。然后对每个研究患者的并发症发生率、吸出物的脂肪含量、术后瘀斑、术后肿胀、患者满意度和外科医生满意度进行比较。还由一个独立的评审小组对10例随机选择的患者进行评估，该小组比较了超声辅助脂肪抽吸术与传统脂肪抽吸术治疗区域的瘀斑和肿胀情况。他们对这10例患者的观察结果进行了统计分析。这项初步研究未能证实其他外科医生所宣称的超声辅助脂肪抽吸术的大部分优势。然而，该方法是一项不断发展的技术，作者对超声在身体塑形手术中的作用仍持乐观态度。
