超声波成像在美学注射剂中的使用:修改后的Delphi共识
P J Velthuis1, F Alfageme2, H Cartier3
1Department of Dermatology, Erasmus Medical Center, Rotterdam, the Netherlands.
概括
国际专家确定了在化品填充剂注射中使用超声波成像的先决条件. 关键建议包括特定的设备,高风险地区的强制性注射前扫描,以及超声波引导的技术,以确保最佳的患者安全和结果.
科学领域:
- 审美学 在审美学方面
- 医疗成像医学成像
- 皮肤病学 皮肤病学
背景情况:
- 超声波成像在美容医学中越来越突出.
- 越来越需要对其用于化品填充剂注射的标准化指导方针.
- 医生需要明确的先决条件来采用这项技术.
研究的目的:
- 建立国际专家共识,在化品填充剂注射中使用超声波成像的先决条件.
- 为在美学程序中安全有效地实施超声波提供准则.
- 为医生和探索超声波技术的机构做出关键决策.
主要方法:
- 一个四轮修改的德尔菲共识过程.
- 包括来自不同医疗专业和国家的15名国际专家.
- 对有关超声波设备,应用和培训的声明进行讨论和投票.
主要成果:
- 在大多数声明上达成共识 (>70%的同意).
- 推最低15 MHz线性传感器;可接受手持设备.
- 强制性B模式,颜色多普勒,光谱多普勒,存档;建议使用功率多普勒.
- 在高风险地区和并发症管理中,注射前超声波是强制性的.
- 建议在许多面部区域进行超声波导向注射,用于填充剂,毒素和脂解.
- 需要使用无菌探针盖,无菌凝和特殊培训.
结论:
- 已建立的共识为化品填充剂中的超声波使用提供了基本的指导方针.
- 建议涵盖设备,强制性注射前扫描和指导注射技术.
- 标准化的先决条件将促进超声波在美容医学中的采用和安全应用.
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