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以往治疗巨大脂肪瘤多采用传统手术方法。皮肤切口大,瘤体周围组织剥离广泛,易造成切口皮缘部分坏死,致切口延迟愈合,并遗留长而丑陋的瘢痕,极大地影响体表皮肤外观美。为避免上述弊端,笔者应用脂肪抽吸术治疗巨大脂肪瘤3例。手术切口仅为1cm,选用内径较大的有齿吸头,采用腔隙式往复抽吸,抽吸范围扩大至距瘤体外缘1~2cm处,在确保不损伤真皮下血管网的情况下,彻底刮吸净深筋膜浅层的脂肪及瘤体组织。术后经2至9年随访,术区外观形态、皮肤色泽、弹性良好,无1例复发。因此,只要严格按操作要点手术,即可使脂肪瘤基本得以根治,又可获得良好的美容效果,不失为一种医治脂肪瘤较好的新途径。经检索,国内目前尚未见该治疗方法的报道。
In the past, giant lipomas used traditional surgical methods. The skin incision is large, and the tissue surrounding the tumor is extensively detached, which can easily cause partial necrosis of the skin margin of the incision, resulting in delayed healing of the incision and leaving a long and ugly scar, which greatly affects the appearance of the skin of the body surface. In order to avoid the above drawbacks, I applied liposuction to treat 3 cases of huge lipoma. The surgical incision was only 1cm, and the large-bore toothed tip was used. The cavity was reciprocally aspirated, and the suction range was expanded to 1 to 2cm from the outside edge of the tumor. This ensures that the subdermal vascular network is not damaged. Thoroughly scrapes the superficial fat and tumor tissue of the deep fascia. After 2 to 9 years of follow-up, the appearance, skin color, and elasticity of the surgery area were good. No recurrence occurred. Therefore, as long as the operation points are strictly followed by surgery, lipomas can be radically cured, and good cosmetic effects can be obtained, which is a better new way to treat lipomas. According to the search, there are no reports of this treatment method in China at present.