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中华肥胖与代谢病电子杂志

中华肥胖与代谢病电子杂志 ›› 2022, Vol. 08 ›› Issue (02) : 130 -135. doi: 10.3877/cma.j.issn.2095-9605.2022.02.010

综述

减重手术后皮肤松弛的塑形手术：患者的认知和态度
刘志亚1, 高丽莲2, 王存川2, 杨华2,†(), 钱玉秀3,†(), 中国肥胖代谢外科研究协作组   
  1. 1. 510632　广州，暨南大学护理学院
    2. 510630　广州，暨南大学附属第一医院减重中心
    3. 510630　广州，暨南大学附属第一医院手术室
  • 收稿日期:2022-04-05 出版日期:2022-05-30
  • 通信作者: 杨华, 钱玉秀

Body contouring surgery for loose skin after bariatric surgery: patient perceptions and attitudes

Zhiya Liu1, Cunchuan Wang2, Lilian Gao2, Wah Yang2,†(), Yuxiu Qian3,†(), Chinese Obesity and Metabolic Surgery Collaborative   

  1. 1. School of Nursing, Jinan University, Guangzhou 510632
    2. Department of Metabolic and Bariatric Surgery, The First Affiliated Hospital of Jinan University
    3. Operating Room, The First Affiliated Hospital of Jinan University, Guangzhou 510630, China
  • Received:2022-04-05 Published:2022-05-30
  • Corresponding author: Wah Yang, Yuxiu Qian
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刘志亚, 高丽莲, 王存川, 杨华, 钱玉秀, 中国肥胖代谢外科研究协作组. 减重手术后皮肤松弛的塑形手术：患者的认知和态度[J]. 中华肥胖与代谢病电子杂志, 2022, 08(02): 130-135.

Zhiya Liu, Cunchuan Wang, Lilian Gao, Wah Yang, Yuxiu Qian, Chinese Obesity and Metabolic Surgery Collaborative. Body contouring surgery for loose skin after bariatric surgery: patient perceptions and attitudes[J]. Chinese Journal of Obesity and Metabolic Diseases(Electronic Edition), 2022, 08(02): 130-135.

减重手术（BS）是治疗肥胖症及相关代谢疾病的有效方式，但术后出现的皮肤松弛问题对患者生活质量和心理社会功能产生不同程度的影响，身体塑形手术（BCS）是解决皮肤松弛的主要方法。然而，BCS因在美容整形手术与功能性手术之间无法准确界定而存在着争议，并且在BCS的认知和态度方面的研究相对较少。因此，笔者分析目前针对皮肤松弛原因、部位、不良影响的回顾性和前瞻性研究，总结了患者对BCS的态度、影响因素及干预措施的临床证据，提出BCS能够改善患者生活质量，并将其作为病态性肥胖治疗过程的一部分；同时，减重和整形外科医生应对术后患者皮肤松弛问题给予更多的关注，在临床实践中正确推广BCS，改善患者的生活质量。

关键词: 减重手术, 皮肤松弛, 塑形手术, 认知与态度, 肥胖

Bariatric surgery (BS) is an effective way to treat obesity and related metabolic diseases. Still, postoperative skin problems have varying degrees of impact on patients' quality of life and psychosocial function and need to be solved by body contouring surgery (BCS). However, the inability to accurately define BCS between plastic surgery and functional surgery is controversial, and there are relatively few studies on the perception and attitude of BCS. Therefore, the author analysed the current retrospective and prospective studies on the causes, sites and adverse effects of skin problems, summarised the clinical evidence on patients' attitude to BCS, influencing factors and interventions towards BCS, and proposed that BCS can improve patients' quality of life, as part of the treatment process of morbid obesity; At the same time, bariatric and plastic surgeons should pay more attention to the problem of loose skin in postoperative patients, and promote BCS correctly in clinical practice to improve the quality of life of patients.

Key words: Bariatric surgery, Excess skin, Body contouring surgery, Perception and attitude, Obesity
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