自体脂肪颗粒注射移植于面部凹陷处的方法和体会
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摘要
目的研究分析自体脂肪颗粒注射移植于患者的面部凹陷处的临床应用价值及心得体会。方法从2016年9月-2017年9月在我院进行诊治的面部凹陷患者中抽取60例作为研究对象,对其行自体脂肪颗粒注射的方法移植于面部凹陷处,选择患者的下腹部及大腿前外侧部作为脂肪供应区,利用手工抽脂的方式将脂肪提取出来,随后利用静置法对所提取的脂肪进行提纯,将提纯后的脂肪进行漂洗和沉淀处理后,将其注射至患者的面部凹陷处。结果在术后的随诊过程中,发现有3例患者出现局部硬结现象,但在经局部的按摩、热敷或理疗后便消失,且并无血肿、感染或不对称的并发症现象出现,且患者的满意度较高。结论对面部凹陷患者行自体脂肪颗粒注射方法可以显著的改善患者的面部状况,且治疗方式简单,手术瘢痕较小,患者承受痛苦较小且满意度较高,临床应用十分安全且有效。
Objective To study and analyze the clinical application value and experience of autologous fat granule injection and transplantation in the facial depression of patients. Methods From January 2018 to June in our hospital for diagnosis and treatment of facial depression in patients with 60 cases as the research object, uneffective transplantation of autologous fat granules injection methods in facial depression, select the patient's abdomen, anterolateral thigh and hip fat as supply area, the method of liposuction by hand to pick up the fat, then use the static method for the extraction of fat are purified and after purification of fat after rinsing and precipitation process, the injection to the patient's facial depression. Results Of the selected parts of 60 cases of patients with facial sag filling quantity for 4-40 ml, can be between 3 to 6 months after second populated, in 1 to 3 times of fat particles, after filling in patients with facial sag more full, the overall appearance of natural, wrinkles appeared significantly reduced or disappeared, in the process of postoperative follow-up, 3 patients were found to have a local induration phenomenon, but in the local massage and hot compress or physical therapy after disappears, and no complications of hematoma, infection or asymmetric phenomenon appears, and patient satisfaction is higher. Conclusion Autologous fat granule injection for patients with facial depression can significantly improve the facial condition of patients, and the treatment is simple, less scar, less pain and higher satisfaction of patients, clinical application is very safe and effective, worthy of clinical application and promotion.
Objective To study and analyze the clinical application value and experience of autologous fat granule injection and transplantation in the facial depression of patients. Methods From January 2018 to June in our hospital for diagnosis and treatment of facial depression in patients with 60 cases as the research object, uneffective transplantation of autologous fat granules injection methods in facial depression, select the patient's abdomen, anterolateral thigh and hip fat as supply area, the method of liposuction by hand to pick up the fat, then use the static method for the extraction of fat are purified and after purification of fat after rinsing and precipitation process, the injection to the patient's facial depression. Results Of the selected parts of 60 cases of patients with facial sag filling quantity for 4-40 ml, can be between 3 to 6 months after second populated, in 1 to 3 times of fat particles, after filling in patients with facial sag more full, the overall appearance of natural, wrinkles appeared significantly reduced or disappeared, in the process of postoperative follow-up, 3 patients were found to have a local induration phenomenon, but in the local massage and hot compress or physical therapy after disappears, and no complications of hematoma, infection or asymmetric phenomenon appears, and patient satisfaction is higher. Conclusion Autologous fat granule injection for patients with facial depression can significantly improve the facial condition of patients, and the treatment is simple, less scar, less pain and higher satisfaction of patients, clinical application is very safe and effective, worthy of clinical application and promotion.
引文
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[9]王大军.脱细胞真皮基质与其他材质在面部凹陷充填术中的应用比较[J].临床医药文献电子杂志,2015,2(34):7017-7020.DOI:10.16281/j.cnki.jocml.2015.34.045
[10]黄秀珍.自体脂肪填充面部97例的临床分析[J].中外医疗,2015,34(32):106-107.DOI:10.16662/j.cnki.1674-0742.2015.32.106
[2]姚建军,李慧.自体脂肪颗粒移植治疗刀砍状硬皮病围手术期的护理[J].中国美容医学,2018,27(01):125-127.DOI:10.15909/j.cnki.cn61-1347/r.002175
[3]林翠.1例左侧半面萎缩自体脂肪填充术患者的手术护理配合[J].当代护士(上旬刊),2017(06):169-170.DOI:10.3969/j.issn.1006-6411.2017.06.087
[4]Gamboa Gloria Mabel,Ross William A.Autologous Fat Transfer in Aesthetic Facial Recontouring[J].Annals of Plastic Surgery,2013,70(5):513-516.DOI:10.1097/sap.0b013e31827eac42
[5]Michael T Chung,Jeong S Hyun,David D Lo,et al.Micro-Computed Tomography Evaluation of Human Fat Graftsin Nude Mice[J].Tissue Engineering Part C:Methods,2013,19(3):227-232.DOI:10.1089/ten.tec.2012.0371
[6]刘文峰,顾俊平.富血小板血浆结合自体脂肪移植在面部凹陷填充中的应用[J].医学信息,2018,31(16):183-185.DOI:10.15909/j.cnki.cn61-1347/r.002141
[7]赵佳义,朱文君.自体脂肪颗粒移植技术治疗面部凹陷的护理进展[J].解放军护理杂志,2018,35(11):39-41.DOI:10.3969/j.issn.1673-7040.2016.02.003
[8]高国珍.面部整形美容中自体脂肪源性干细胞应用价值研究[J].世界最新医学信息文摘,2018,18(20):10-11.DOI:10.19613/j.cnki.1671-3141.2018.20.005
[9]王大军.脱细胞真皮基质与其他材质在面部凹陷充填术中的应用比较[J].临床医药文献电子杂志,2015,2(34):7017-7020.DOI:10.16281/j.cnki.jocml.2015.34.045
[10]黄秀珍.自体脂肪填充面部97例的临床分析[J].中外医疗,2015,34(32):106-107.DOI:10.16662/j.cnki.1674-0742.2015.32.106