A national survey of complications associated with suction lipectomy: a comparative study.
A national survey of complications associated with suction lipectomy: a comparative study.
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抽吸脂肪切除术相关并发症的全国调查：一项比较研究。
DOI：
10.1097/00006534-198910000-00012
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发表时间：
1989
影响因子：
3.6
通讯作者：
B. W. Rogers
中科院分区：
文献类型：
--
作者：
B. Teimourian;B. W. Rogers
1988年3月，一份调查表被发送给美国整形和重建外科医生协会的所有2695名美国和加拿大成员。935名成员作了答复，答复率为34.7%。调查的目的是确定从1984年1月至1988年1月进行的主要吸脂术、皮肤脂肪切除术和腹部整形术的总数，并比较与这三种手术相关的9种特定并发症。935名外科医生报告共进行了112，756例手术：大吸脂术（75，591例）、皮肤脂肪切除术（10，603例）和腹部整形术（26，562例）。调查了9种主要并发症：死亡率、心肌梗死、脑血管意外或短暂性脑缺血发作、肺血栓栓塞、脂肪栓塞、严重皮肤缺损、麻醉并发症、输血并发症和深静脉血栓形成。调查结果显示，当比较这三种手术和九种并发症时，大抽吸脂肪切除术的并发症发生率为0.1%，皮肤脂肪切除术为0.9%，腹部整形术为2.0%。脂肪栓塞未被证明是与三种手术中任何一种相关的重要因素。然而，在报告的15例死亡中（主要吸脂术2例，皮肤脂肪切除术2例，腹部整形术11例），肺血栓栓塞是9例死亡（60%）的致病因素。基于这些分析数据，我们认为大抽吸脂肪切除术的并发症发生率较低，是一种相当安全的手术。
In March of 1988, a survey form was sent to all 2695 U.S. and Canadian members of the American Society of Plastic and Reconstructive Surgeons. Nine-hundred and thirty-five members responded, for a response rate of 34.7 percent. The purpose of the survey was to ascertain the total number of major liposuction, dermatolipectomy, and abdominoplasty procedures performed from January of 1984 to January of 1988 and to compare nine specific complications that are associated with these three procedures. The 935 surgeons reported a total of 112,756 procedures performed: major liposuction (75,591), dermatolipectomy (10,603), and abdominoplasty (26,562). Nine major complications were surveyed: mortality, myocardial infarction, cerebrovascular accident or transient ischemic attack, pulmonary thromboembolism, fat embolism, major skin loss, anesthesia complication, transfusion complications, and deep venous thrombosis. The findings in this survey showed, when comparing these three procedures and the nine types of complications, that the complication rate for major suction lipectomy was 0.1 percent, for dermatolipectomy 0.9 percent, and for abdominoplasty 2.0 percent. Fat emboli did not prove to be a significant factor associated with any of the three procedures. However, of the 15 reported deaths (major liposuction 2, dermatolipectomy 2, and abdominoplasty 11), pulmonary thromboembolism was the causative factor in 9 deaths (60 percent). Based on these analyzed data, we feel that major suction lipectomy has a low complication rate and is a reasonably safe procedure.