斯卡帕筋膜保存腹部成形术联合精确吸脂治疗妊娠后腹部：10年的经验

IF 2 3区医学 Q2 SURGERY

Journal of Plastic Reconstructive and Aesthetic Surgery Pub Date : 2025-04-07 DOI:10.1016/j.bjps.2025.04.004

Yi Tian , Yiwen Deng , Ben Wang , Youcai Yan

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引用次数: 0

摘要

背景：腹部成形术在整形外科中应用广泛。目前，在怀孕后腹壁松弛的女性中，对腹部成形术的需求很高。本研究的目的是介绍改良腹部成形术联合动力辅助吸脂和超声辅助吸脂治疗妊娠后腹壁松弛的妇女。方法回顾性分析2015年1月至2023年4月190例产后出现腹壁松弛的产妇。将患者分为两组：腹部成形术组和腹部成形术联合精确吸脂组。评估时考虑年龄、体重指数、生育史、腹围、手术方式、手术细节和并发症。采用包含视觉模拟量表（VAS）和贝克抑郁量表（BDI）的问卷对患者满意度进行评估。结果本组患者术后平均随访10.1个月。腹部成形术联合精确吸脂组与腹部成形术组相比，上下腹部围明显减小（P<0.05）。联合组术后VAS评分显著高于腹部成形术组（P<0.05），联合组术后BDI评分显著低于腹部成形术组（P<0.05）。BDI结果显示，术后患者中中度抑郁的患病率显著降低，从94.2%降至3.6%。结论scarpa筋膜保留腹成形术联合精确吸脂术是一种适合妊娠后腹部的手术方法。改良的腹部成形术具有良好的治疗效果，皮瓣血供最佳，皮瓣张力最小，术后疤痕不明显，身体轮廓细致。

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Scarpa fascia preservation abdominoplasty combined with precise liposuction for postpregnancy abdomen: A 10-year experience

Background

Abdominoplasty is widely performed in plastic surgery. Currently, there is a high demand for abdominoplasty among women who experience abdominal wall laxity after pregnancy. The aim of this study was to present modified abdominoplasty combined with power-assisted liposuction and ultrasound-assisted liposuction for postpregnancy women with abdominal wall laxity.

Methods

This retrospective study included a total of 190 cases of postpartum women presenting with abdominal wall laxity from January 2015 to April 2023. The patients were divided into 2 groups: the abdominoplasty and abdominoplasty combined with precise liposuction groups. The age, body mass index, reproductive history, abdominal circumference, surgical strategy, surgical details, and complications were considered during evaluation. Patient satisfaction was evaluated using a questionnaire that incorporated the visual analog scale (VAS) and Beck Depression Inventory (BDI).

Results

The average postoperative follow-up period in this study group was 10.1 months. The abdominoplasty combined with precise liposuction group exhibited significantly reduced upper and lower abdominal circumferences compared to the abdominoplasty group (P<0.05). The postoperative VAS score of the combined group was significantly higher than that of the abdominoplasty group (P<0.05), while the postoperative BDI score of the combined group was significantly lower compared to that of the abdominoplasty group (P<0.05). The BDI results revealed a significant reduction in the prevalence of moderate depression among post-surgery patients, declining from 94.2% to 3.6%.

Conclusions

Scarpa fascia preservation abdominoplasty combined with precise liposuction is a suitable procedure for postpregnancy abdomen. The modified abdominoplasty demonstrates favorable therapeutic outcomes, optimal flap blood supply, minimal flap tension, inconspicuous postoperative scar, and meticulous body contouring.

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来源期刊

Journal of Plastic Reconstructive and Aesthetic Surgery 医学-外科

CiteScore

3.10

自引率

11.10%

发文量

578

审稿时长

3.5 months

期刊介绍： JPRAS An International Journal of Surgical Reconstruction is one of the world''s leading international journals, covering all the reconstructive and aesthetic aspects of plastic surgery. The journal presents the latest surgical procedures with audit and outcome studies of new and established techniques in plastic surgery including: cleft lip and palate and other heads and neck surgery, hand surgery, lower limb trauma, burns, skin cancer, breast surgery and aesthetic surgery.