文档介绍：1 妇科手术同时联合腹壁整形术【关键词】肥胖, 妇科手术, 腹壁整形术【摘要】目的探讨妇科手术同时伴腹壁整形手术的安全有效的手术方法及优缺点、适应证、并发症。方法妇科手术同时行腹壁整形手术共 30 例,选择适当的手术切口手术操作方法、手术适应证,及防止并发症发生。结果所有病例均获满意疗效,无明显并发症的发生。结论手术方法得当, 于妇科手术同时行腹壁整形手术安全有效, 效果满意。关键词肥胖妇科手术腹壁整形术 Gynecological operation with bined abdominoplasty of lipectomy and liposuction .【 Abstract 】 Objective To evaluate a gynecological bined with abdominoplasty of lipectomy and This study was carried out to find a safe 2 and effective method of gynecological operation with bined abdominoplasty of lipectomy and 30patients were undergoing the abdominoplasty with lipectomy or liposuction in the operation. The patients recovered quickly with fine appearance and Tumescent tec hnique is effective and safe , and bination of lipectomy or liposuction with gyneco ˉ logical operation may be good for abdominoplasty. Key words fat gynecological operation abdominoplasty 为了使腹部肥胖或脂肪堆积的妇科患者在治疗妇科疾病同时获得腹壁整形效果, 我院整形外科与妇科联合于妇科手术同时施行腹壁整形手术( 包括腹壁去脂术和腹壁脂肪抽吸术) 。共 30 例,经临床观察,疗效满意,经总结,报道如下。 1 资料与方法一般资料本组 30例1次, 年龄 20~ 41岁, 其中子宫次全切除联合整形 16 例,卵巢囊肿摘除联合整形 10例,子 3 宫全切除联合整形 4 例。腹围 93~ 122cm ,体重 57~ 82kg 。手术分二种: 腹壁去脂手术 8 例,腹壁脂肪抽吸术 22例。采用硬膜外麻醉及下腹正中纵切口、横切口或纵横联合切口。术后 3 个月腹围减少 8~ 15cm , 皮脂厚度减少2~ 5cm ,效果满意,腹壁平整,松紧适宜,无并发症发生。手术方法术前标记出手术切口及脂肪堆积范围。顺利完成妇科手术并缝合腹肌筋膜后施行手术。腹壁去脂手术切口利用妇科手术切口, (包括下腹正中纵切口, 以及新式行子宫全切术横切口)必要时附加切口。手术沿切口并向