【 文献重点摘要 】
 

Background: The development of liposuction provided plastic surgeons with a safe and effective way to sculpt the human figure. The techniques and instrumentation used in the performance of liposuction have evolved significantly since its introduction.

Objective: The authors review their experience with different liposuction techniques over the past 25 years.

Methods: Data from patients who had undergone liposuction were collected from the personal databases of four different surgeons and from the database at the Corpus and Rostrum Plastic Surgery Clinic in Cali, Colombia. A retrospective review was conducted and the results from different liposuction techniques were compared.

Results: A total of 26,259 patient charts were reviewed. The results showed that 5% of patients experienced a postsurgical seroma. Postsurgical fibrosis developed to some degree in 2.3% of patients. Anemia was present in 18% of all patients and in 60% of those patients who underwent dry liposuction. Ninety percent of patients reported postoperative pain. The incidence of deep vein thrombosis was 0.03%, as was the incidence of pulmonary embolism. Mortality was 0.01% and was mainly caused by pulmonary embolism. Patient satisfaction was similar for all of the described techniques.

Conclusions: The incidence of anemia was reduced significantly in patients undergoing tumescent liposuction versus dry liposuction. However, the occurrence of seroma increased with the introduction of tumescent liposuction. The incidence of postoperative pain and fibrosis was similar for all liposuction techniques reviewed. The aesthetic results obtained using ultrasound- or laser-assisted liposuction were similar to those obtaining using other techniques.

背景：吸脂术的发展为整形外科医生提供了一种安全有效的人体造型方法。自从吸脂术问世以来，用于吸脂术的技术和器械有了很大的发展。

目的：回顾过去25年来采用不同吸脂技术的经验。

方法：从四位不同外科医生的个人数据库和哥伦比亚卡利的语料库和Rostrum整形外科诊所的数据库中收集接受过吸脂术的患者的数据。对不同的抽脂方法进行回顾性分析，并对不同抽脂方法的结果进行比较。

结果：总共审查了26259份病历表。结果显示，5%的患者术后出现浆液性肿块。2.3%的患者术后出现不同程度的纤维化。所有患者中有18%出现贫血，接受干性吸脂的患者中有60%出现贫血。90%的患者报告术后疼痛。深静脉血栓的发生率为0.03%，肺栓塞的发生率为0.03%。病死率为0.01%，主要由肺栓塞引起。患者对所描述的所有技术的满意度都是相似的。

结论：肿胀式吸脂术与干式吸脂术相比，贫血发生率明显降低。然而，随着肿胀吸脂术的引入，血清瘤的发生也随之增加。所有复习的吸脂技术术后疼痛和纤维化的发生率相似。使用超声或激光辅助吸脂获得的美学效果与使用其他技术获得的结果相似。