吸脂－多囊卵巢综合征治疗的新方法A new method of liposuction therapy for polycystic ovary syndrome转载2008-04-10

安太医院陈凤林院长根据肥胖型多囊卵巢综合征(PCOS)病理生理特点，首创腹腔镜下卵巢打孔+大网膜部分切除+全身吸脂作为此病的治疗措施，百例样本统计，术后半年内妊娠成功率高达90%，显胜卵巢打孔+二甲双胍组。 因为这种方法不但能够快速恢复排卵，而且同时去掉身体堆积的脂肪，带走脂肪内积存的大量激素，加上体态心态迅速恢复，婚姻关系改善，怀孕则水到渠成。According to the pathophysiological characteristics of obese polycystic ovary syndrome(PCOS), Dean Chenfenglin of Antai Hospital pioneered laparoscopic ovarian perforation, partial removal of the greater omentum, and total liposuction as treatment measures for this disease. The success rate of pregnancy in the six months after surgery was as high as 90 . Obvious ovarian perforation + Metformin group. Because this method can not only quickly restore ovulation, but also remove the body's accumulated fat, take away a large amount of hormones accumulated in fat, coupled with a rapid recovery in posture, improved marital relations, and pregnancy.

PCOS，是一组以排卵障碍和糖脂代谢紊乱，影响心态、体态和生育的征候群，临床上分为14个亚型。PCOS is a group of symptoms that affect mentality, posture, and fertility with ovulation disorders and glycolipids metabolic disorders. It is clinically divided into 14 subtypes.

肥胖型，以满月脸、水牛背、大肚皮、巨乳和胯臀脂肪堆积等糖脂代谢紊乱为主;而月经稀发，经期延长等排卵障碍的表现则不明显，有些甚至月经规律。传统治疗，往往腹腔镜卵巢打孔+二甲双胍减肥，一般术后排卵很快恢复，而二甲双胍减肥却很慢，怀孕困难，等到体重下来了，排卵障碍又复发了，周而复始，治疗周期延长。

Obesity type, with full moon face, Buffalo back, large belly, giant milk and hip fat accumulation and other glycolipids metabolic disorders; Menstruation, menstrual extension and other ovulation disorders performance is not obvious, some even menstrual law. Traditional treatment, often laparoscopic ovarian perforation + Metformin weight loss, general postoperative ovulation quickly recovered, but Metformin weight loss is slow, difficult to pregnancy, wait until the weight comes down, ovulation disorders relapse, repeated, The treatment cycle is extended.

患者体态关系，婚姻多不尽如人意，再加高雄血症导致的性欲强烈很难满足，多有早熟和出轨行为，所以此病也严重影响患者心态。

The patient's posture relationship, marriage is not satisfactory, and the sexual desire caused by Kaohsiung's disease is very difficult to satisfy, and there are many precocious and derailment behaviors. Therefore, this disease also seriously affects the patient's mentality.

吸脂 为什么每次只吸一个部位?Why is liposuction only one part at a time?

吸脂和大网膜部分切除，是安太医院治疗肥胖型多囊卵巢综合征(PCOS)的杀手锏，因为这样能够迅速去除堆积在体内多余的脂肪及脂肪中蓄积的过剩激素，但是吸脂又不能像患者希望的那样一步到位—吸所有肥胖部位，而是一次只吸一个部位，这是为什么呢?Liposuction and partial removal of the omentum are the killer of Antai Hospital for the treatment of obese polycystic ovary syndrome(PCOS) because it can quickly remove excess fat accumulated in the body and excess hormones accumulated in fat. But liposuction doesn't work as well as the patient hopes -- it sucks all the fat, but only one at a time. Why?

吸脂一般与腹腔镜下卵巢手术及大网膜切除同时进行，利用腹腔镜的小切口先吸掉腹部和会阴的脂肪，不增加切口，一般可以吸掉5-10kg。脂肪转移理论认为，术后其他部位的脂肪会逐渐向吸过的部位转移，使全身脂肪重新分布，整个脂肪层变薄，就像在地上挖个坑，水会从高处流过来一样。这样即可减少创伤有可以达到全身减肥的目的，这符合普遍联系和动态看问题的哲学思想。

Liposuction is generally performed at the same time as laparoscopic ovarian surgery and omentum resection. Laparoscopic small incisions are used to absorb abdominal and perineum fat first, and no incision is increased. Generally, 5-10kg can be absorbed. Fat transfer theory believes that fat in other parts of the surgery will gradually transfer to the absorbed part, causing the body fat to redistribute and the entire fat layer to thin, just like digging a pit on the ground and the water will flow from a high point. In this way, the trauma can be reduced to achieve the goal of total body weight loss, which is in line with the philosophy of universal connection and dynamic problem viewing.