非侵入性聚焦超声融脂的临床疗效观察(1)
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[摘要]目的:为观察非侵入性聚焦超声融脂机的临床疗效。方法:应用以色列Ultrashape公司生产的聚焦超声Contour I塑形治疗仪,以功率密度17.5W/cm2,声波频率(200±30)KHz,脉冲周期400ms,治疗用声波输出持续时间1s,对38例患者的腹部皮下脂肪进行减脂塑形治疗。患者间隔两周治疗一次,最末次治疗后两周随访。结果:38例患者中,28例治疗了3次,6例治疗了4次,4例治疗了6次。治疗过程中,治疗部位未见皮肤红肿、水疱、溃疡。38例患者治疗前后体重平均下降(0.45±1.24)Kg,3次治疗腹围减少(2.20±1.94)cm,4次治疗腹围减少(2.92±2.31)cm,6次治疗腹围减少(4.75±2.52)cm。结论:应用聚焦超声融脂机进行减脂塑形治疗,临床
证明有效,为临床提供了一种新的无创、非侵入性治疗方法。
[关键词]塑形;非侵入性;聚焦超声;融脂
[中图分类号]R622[文献标识码]A [文章编号]1008-6455(2010)10-1438-03
Clinical Observation on Body Contouring by Non-Invasive Focused Ultrasound
JIN Yan, Dong Yong,YAN Xiu-juan,CHENG Jing
(Department of Plastic Surgery and Laser Medicine, Beijing Anzhen Hospital of Capital Medical University, Beijing 100029, China)
Abstract:ObjectiveTo observe the clinical effect of body contouring treated by non-invasive focused ultrasound.MethodsThe unwanted fat on abdomen of 38 patients were treated by an non-invasive focused ultrasound device [ UltraShape Contour I,Israel],These cases were cured by this system with power density 17.5W/cm2, acoustic frequency (200 ± 30) KHz,pulse period 400ms,the duration of treatment with the acoustic output 1s. The treatment in patient was with an interval of two weeks. The follow-ups were made after two weeks of last time.ResultsAmong 38 patients,28 cases were treated for 3 times, 6 cases for 4 times,and 4 cases for 6 times. No skin irritation,blisters,and ulcers occurred in the treatment.The average body weight of 38 patients were decreased in (0.45±1.24) kg, The abdominal circumference of patients treated for 3 times were decreased in (2.20±1.94) cm,(2.92±2.31) cm for 4 times,and in (4.75 ± 2.52) cm for 6 times.ConclusionThis clinical observation shows the efficacy of focused ultrasound machine for body contouring, and the therapeutic effect which can be improved by repeated treatment.
Key words: body contouring;non-invasion;focused ultrasound;lipolysis
形体美一直是人类多数种族追求的目标之一,为了实现这一追求,人们采用了节食、服药、锻炼、吸脂手术等多种方法,甚至切除部分肠道器官,不惜损害身体[1-2]。2005年以后,国际上陆续出现了基于聚焦超声技术的无创、非侵入性融脂设备,使融脂塑形增加了一种新的治疗方法[3]。自2008年以来,我科应用以色列Ultrashape公司生产的聚焦超声融脂机对38例患者腹部进行了融脂治疗,结果报道如下。
1材料和方法
1.1 临床资料:患者38例,均为女性,年龄25～45岁,平均(35.08±5.31)岁;身高(1.54～1.70)m,平均(1.63 ±4.28)m;体重(52～72)kg,平均(61.83±5.84)kg。全体患者抽血化验血、尿常规,肝、肾功能,及血脂、凝血功能(内容与结果另文报告);记录病史,测量身高、体重、腹围,记录影像资料;签署知情同意书。
1.2 设备:以色列Ultrashape公司生产的聚焦超声Contour I塑形治疗仪。设备主要参数: 输入电压220V,60Hz;输出功率(70～275)W;声波工作频率(200±30)KHz,脉冲周期400ms;治疗用声波输出持续时间1s或3s。腹围测量使用Ultrashape公司提供的具有一定持续拉力专用皮尺。数据应用SPSS13.0统计学软件进行处理,测量结果以(x±s)表示,治疗前后疗效评价采用χ2检验。
1.3 方法
1.3.1适应证:①年龄18～65岁;②腹部皮下脂肪厚度不薄于2 ......
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