探讨吸脂术联合强脉冲光与非剥脱点阵激光治疗体表脂肪瘤的治疗效果。

选取北京大学肿瘤医院内蒙古医院整形皮肤科2022年10月至2023年9月收治的体表脂肪瘤32例患者，术前进行超声引导下经皮穿刺活检术，病理均证实为脂肪瘤。为患者设计隐蔽切口，连接吸脂机，用吸脂针吸出瘤体，加压包扎，常规换药拆线。术后通过强脉冲光与1 565 nm非剥脱点阵激光预防瘢痕。观察切口愈合时间，采用皮肤镜记录瘢痕血管数，采用温哥华瘢痕量表（VSS）记录瘢痕评分。

32例患者术后随访12个月，脂肪瘤均无复发。患者切口平均愈合时间为10 d。终末随访时皮肤镜观察瘢痕血管数平均为2条，VSS评分平均为1.8分，无其他并发症发生。

吸脂术联合强脉冲光与非剥脱点阵激光是一种治疗体表脂肪瘤的有效方法，值得推广及应用。

To investigate effect of combination of liposuction with intense pulsed light and non-ablative fractional laser for the treatment of body surface lipomas.

A total of 32 patients with lipoma on the body surface who were admitted to the Department of Plastic Dermatology， Peking University Cancer Hospital（Inner Mongolia Campus） from October 2022 to September 2023 were selected for ultrasound-guided percutaneous biopsy before surgery， and all of them were diagnosed to be lipomas. The concealed incision was designed， the liposuction machine was connected， the tumor was sucked out with a liposuction needle, the pressure bandaging， and the conventional dressing change and suture removal were performed. The scar was prevented by intense plused light and 1 565 nm non-ablative fractional laser after surgery. The incision healing time was observed. The number of scar vessels was recorded by dermoscopy， and the scar score was recorded by the Vancouver scar scale (VSS).

All 32 patients were followed up for 12 months after the operation. No recurrence of lipoma was observed. The average healing time was 10 days. The average number of vessels under dermoscopy was 2， and the average score of the VSS was 1.8 points at final follow-up. No other complications occurred.

The combination of liposuction and intense pulsed light and non-ablative fractional laser is an effective approach for treating body surface lipomas， worthing further promotion and application.