论文部分内容阅读
目的探讨肥胖人群减肥后体重急剧下降导致腹壁松弛行腹壁整形手术的疗效。方法 2003年4月2009年10月,24例减肥后体重下降导致腹壁松弛患者中男3例,女21例,年龄28~44岁,平均36岁。其中1例合并甲状腺功能亢进,1例合并糖尿病病史;20例均通过运动、控制饮食等方式致体重下降,4例接受胃减容手术后体重下降。体重下降稳定后至腹壁整形手术时间间隔2~4年,平均2.5年;减肥前至腹壁整形手术前体重下降37~67 kg,平均下降45 kg。手术采用屈髋位,切除松弛皮肤组织,收紧腹壁及腰部松弛组织,耻骨上沿皮瓣远端去表皮后与耻骨上沿骨膜缝合固定。所有患者随访5个月~2年。结果 23例术后2周皮瓣完全成活,切口愈合良好,无切口感染;1例术后出现耻骨上切口约2 cm表皮裂开,换药2周后切口愈合,术后腹壁平整、对称,无皮下血肿发生。随访期间切口疤痕隐蔽,阴阜无上移,腹壁平坦、对称。结论该腹壁整形手术方式效果良好,术后并发症少,值得推广。
Objective To investigate the curative effect of abdominoplasty on abdominal wall plastic surgery after weight loss in obese people. Methods In April 2003 and October 2009, 24 males and 21 females, aged 28-44 years (average 36 years), were enrolled in the study. One case had hyperthyroidism and one case had history of diabetes mellitus. All of the 20 cases had weight loss by exercise and diet control, and 4 cases received weight loss after gastric volume reduction surgery. Weight loss stabilized to abdominal wall plastic surgery time interval of 2 to 4 years, an average of 2.5 years; before weight loss to the abdominal wall before plastic surgery weight loss 37 ~ 67 kg, an average decline of 45 kg. Surgical use of hip flexion, removal of loose skin tissue, tighten the abdominal wall and waist slack tissue, suprapubic flap along the distal epidermis to the suprapubic periosteal suture. All patients were followed up for 5 months to 2 years. Results Skin flap survived completely in 23 cases 2 weeks after operation. The incision healed well without incision infection. In 1 case, suprapubic incision was found about 2 cm in diameter. The wound was healed after 2 weeks of dressing change. The abdominal wall was smooth and symmetrical, No subcutaneous hematoma occurs. During the follow-up incision scars hidden, moncler milano, no increase in the mons pubescent, abdominal wall flat, symmetrical. Conclusion The method of abdominal plastic surgery is effective and less postoperative complications, which is worthy of popularization.