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射频辅助吸脂技术的应用与疗效观察

发布时间:2019-05-14 20:14
【摘要】:[目的]通过应用射频对脂肪和水的作用产生深层热能,以消融并破坏堆积的脂肪组织,同时均匀刺激脂肪膈结缔组织中的胶原蛋白纤维、部分筋膜中的胶原蛋白纤维及真皮胶原蛋白边缘收缩,以使皮肤及软组织外观收缩。并通过术后随访观察脂肪组织厚度的改变及皮肤和软组织的萎缩程度及医患双方术后评估以研究射频辅助吸脂技术的临床应用效果。[方法]对44例脂肪堆积合并皮肤松弛的临床患者,用以色列Bodytite射频治疗仪进行射频溶脂手术,术后随访6个月,分别采用主观效果评定和客观测量值来判定效果。分别记录病人及医生对治疗效果的评定分数;用皮下脂肪测量卡尺测量皮下脂肪厚度值作为融脂效果的判定;用软尺测量治疗区域维度作为组织收紧提拉效果的判定结果用SPSS 17.00统计学软件进行统计学分析。[结果]在1MHz双极射频作用下,治疗区域脂肪得到溶解并吸出,治疗区域皮肤及软组织收缩,并在6个月内逐渐代谢溶解及凋亡的脂肪细胞,新生深层胶原。44例患者术后3例失访,正常随访41例。术前和术后6个月溶脂满意度(0-5分):患者组4.44分,医师组4.67,术前和术后6个月皮肤收紧满意度(0-5分):患者组4.47分,医师组4.65,术前及术后6个月面部、颈部、上臂、腰部、腹部、下肢皮肤褶皱厚度统计学有差异(P0.05),术前及术后6个月面部、颈部、上臂、腰部、腹部、下肢维度统计学有差异(P0.05)。术后未出现血肿、血清肿、皮肤烫伤、感染等并发症。其中早期面部手术三例术后出现口角轻度歪斜,经药物治疗后1个月明显缓解,3个月症状完全消失。[结论]射频辅助吸脂手术可同时安全并有效的消除多余堆积脂肪并收紧皮肤及皮下组织,可进行身体各部分轮廓的精雕塑,同时热作用凝固血管减少出血,减少常规抽脂术中血肿或血清肿等并发症,是新型、安全、微创、快速、恢复快的手术方法。
[Abstract]:[objective] to dissolve and destroy the accumulated adipose tissue by using radiofrequency to generate deep heat energy on fat and water, and to stimulate collagen fiber in adipose diaphragm connective tissue. Collagen fibers and dermis collagen in some fascia contract at the edge of skin and soft tissue. The changes of adipose tissue thickness, the degree of atrophy of skin and soft tissue and the postoperative evaluation of both doctors and patients were observed to study the clinical effect of radiofrequency assisted liposuction. [methods] 44 clinical patients with fat accumulation complicated with skin relaxation were treated with radiofrequency liposuction with Israeli Bodytite radiofrequency therapeutic apparatus. The patients were followed up for 6 months. Subjective effect evaluation and objective measurement were used to evaluate the effect. The evaluation scores of patients and doctors on the therapeutic effect were recorded respectively, and the subcutaneous fat thickness was measured by subcutaneous fat measuring caliper as the judgment of fusion fat effect. Using soft ruler to measure the dimension of treatment area as the result of tissue tightening and pulling effect, SPSS 17.00 statistical software was used for statistical analysis. [results] under the action of 1MHz bipolar radiofrequency, the fat in the treatment area was dissolved and sucked out, the skin and soft tissue contracted in the treatment area, and gradually metabolized dissolved and apoptotic adipocytes within 6 months. New deep collagen. 3 cases lost follow-up and 41 cases were followed up normally. Before and 6 months after operation (0 鈮,

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