带外鞘超声探头在吸脂术中的应用

欧阳春　于国中等

欧阳春于国中胡树立龙晓梅

(中山医科大学家庭医生医学整形美容中心广东 广州510080)

[摘要]目的:探讨带有外鞘的超声探头吸脂术的安全性和有效性。方法:1997年～1998年对110例局部脂肪堆积的患者进行带有外鞘的超声探头吸脂,术中通过进行持续同步冷生理盐水灌注,降低了超声探头和组织的温度,外鞘可以避免超声探头直接与周围组织接触。结果:减少了超声吸脂的并发症,获得了满意的临床效果。结论:利用外鞘可以冷却探头并将探头与外周组织隔离,增加超声吸脂的安全性。

[关键词]吸脂术超声探头鞘

[中图分类号]R312[文献标识码]A[文章编号]1008-6455(2000)09-0291-03

ULTRASOUND-ASSISTED LIPOSUCTION BY THE PROBE WITH THE SHEATH

OU Yang-chunYU Guo-zhongHU Shu-li et al.

Depart.Plastic Surgery,Aesthetic Plastic Surgery Center of the Family Doctor Sun Yat-Sen

University of Medical Sciences,Guangdong,China(Guang zhou 510080)

[Abstract]Objective:To investigate the effects and safes of ultrasound-assisted liposuction by the probe with the sheath.Method:110 consecutive patients with local fat deposit were treated with ultrasound-assisted liposuction by the probe with the sheath during October of 1997 to December of 1998.The probe and the surrounding tissue temperatures were decreased with a steady infusion of this cool saline in operation.The surrounding tissues were not contact with the probe by the external sheath.Result:Complication of ultrasound-assisted liposuction were minimized.Satisfying curative effects were obtained.Conclusion:Utilization of the sheath enhances the safety of ultrasound-assisted liposuction by cooling the probe and insulting it from the surrounding tissues.

[Key words]LiposuctionUltrasonicProbeSheath

在20世纪80年代由意大利人Zocchi将超声的概念引入到脂肪抽吸术中。现在越来越多的整形外科医师接受了这项新技术。这项技术的基本原理就是超声波通过"空穴"作用对组织进行选择性的分解乳化。它可以将低密度的脂肪细胞崩解乳化,而对于高密度的神经血管和结缔组织不造成伤害。近十年来,超声吸脂机得到了不断的改进,这种改进在超声探头设计方面显得尤为突出。超声探头最初设计为实心,而后又出现空心探头。我们于1997年10月引起法国MEDICAMAT公司生产的超声吸脂机,该吸脂机的探头为包有外鞘管的空心探头,这种超声探头在手术中可以持续得到冷却,并且通过外鞘避免超声探头与周围组织直接接触。现将我们在临床使用的情况报告如下。

1临床资料ノ以捍1997年10月至1998年12月,共治疗110例吸脂患者计140处,包括:全腹部56处,下腹部17处,腰部17处,双臀部9处,双大腿21处,双小腿9处,双上臂3处,颈部2处,背部脂肪垫6处。……