自体脂肪移植在面部轮廓整形中的应用
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摘要
目的评估自体脂肪颗粒移植在面部轮廓整形中的临床疗效和安全性。方法选取2013年5月至2016年5月行自体脂肪颗粒移植的70例患者,所有患者术中均通过肿胀吸脂术将皮下脂肪抽吸后经离心、提纯后均匀注射于面部各区域。回顾性分析其临床资料和随访期间并发症情况以及患者对治疗的满意度。结果所有患者均顺利完成手术;术后随访6个月,所有患者均未出现脂肪液化、感染、坏死、硬结以及栓塞等并发症;术后1个月及6个月时患者满意率分别为94.85%和97.94%。结论自体脂肪颗粒移植用于面部轮廓整形效果显著,手术成功率高,并发症发生率低,值得临床推广。
Objective To evaluate the clinical efficacy and safety of autologous fat granule transplantation in facial contouring. Methods From May 2013 to May 2016, 70 patients treated with autologous fat granule transplantation were selected. Subcutaneous fat was injected into facial regions after centrifugation and purification process through subcutaneous tumescent liposuction. The clinical data, complications and the satisfaction of the patients were analyzed retrospectively.Results All operations were successfully completed; After 6 months of postoperative follow-up, no infection, fat liquefaction,necrosis, induration?and embolism were observed; The satisfaction rate of the patients were 94.85% and 97.94% at 1 month and 6 month after operation respectively. Conclusion Autologous fat granule transplantation is effective in facial contouring with high success rate and low complication rate. It is worthy of clinical promotion.
Objective To evaluate the clinical efficacy and safety of autologous fat granule transplantation in facial contouring. Methods From May 2013 to May 2016, 70 patients treated with autologous fat granule transplantation were selected. Subcutaneous fat was injected into facial regions after centrifugation and purification process through subcutaneous tumescent liposuction. The clinical data, complications and the satisfaction of the patients were analyzed retrospectively.Results All operations were successfully completed; After 6 months of postoperative follow-up, no infection, fat liquefaction,necrosis, induration?and embolism were observed; The satisfaction rate of the patients were 94.85% and 97.94% at 1 month and 6 month after operation respectively. Conclusion Autologous fat granule transplantation is effective in facial contouring with high success rate and low complication rate. It is worthy of clinical promotion.
引文
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[12]Endara MR,Allred LJ,Han KD,et al.Applications of fat grafting in facial aesthetic skeletal surgery[J].Aesthet Surg J,2014,34(3):363-373.
[13]杨志宏,上官守琴,田诗政,等.自体脂肪移植在面部轮廓塑形中的临床应用[J].广西医学,2015,37(5):669-670,674.
[14]邓婕,张晓蓉.不同机械力作用下兔前颌缝和颧颌缝改建的组织形态学研究[J].华中科技大学学报(医学版),2015,44(2):165-170.
[15]高伟成,陈小平,林金德,等.自体PRP/PRF脂肪颗粒移植面部填充的回顾性临床分析[J].中国美容整形外科杂志,2015,26(3):149-152.
[2]马骥,谭谦.自体颗粒脂肪注射改善皮肤瘢痕的研究进展[J].医学研究生学报,2016,29(9):982-986.
[3]郑文,陈宝峰,李洁,等.高频超声在颜面部自体脂肪颗粒注射移植再次注射中的应用价值[J].吉林大学学报(医学版),2017,43(1):170-175.
[4]任晓萍.自体颗粒脂肪结合真皮瓣移植治疗面部凹陷畸形效果观察[J].中国医疗美容,2015,5(1):37-38.
[5]史四季,王素枝,刘秀芹.自体颗粒脂肪游离移植在面部美容中的应用效果观察[J].齐鲁护理杂志,2014,20(18):123-124.
[6]孙凯,甄永环,刘永葆.血管基质成分提升面部脂肪移植存活率的临床观察[J].中国美容医学,2014,23(4):267-269.
[7]李燕,郭莉,谢淼,等.不同取脂部位自体脂肪颗粒移植吸收率的临床研究[J].河北医药,2017,39(1):51-53.
[8]陈海良,江利娟,樊建云,等.自体脂肪颗粒移植在整形外科中的应用效果分析[J].中国医疗美容,2016,11(6):7-9.
[9]李正斌,梁俊刚,路光辉.自体脂肪填充术的临床应用效果分析[J].中国美容医学,2015,24(22):8-10.
[10]Konczalik W,Siemionow M.Experimental and clinical methods used for fat volume maintenance after autologous fat grafting[J].Ann Plast Surg,2014,72(4):475-483
[11]蒲力群.一项更合理化的脂肪移植技术[J].北京大学学报(医学版),2012,44(5):678-682.
[12]Endara MR,Allred LJ,Han KD,et al.Applications of fat grafting in facial aesthetic skeletal surgery[J].Aesthet Surg J,2014,34(3):363-373.
[13]杨志宏,上官守琴,田诗政,等.自体脂肪移植在面部轮廓塑形中的临床应用[J].广西医学,2015,37(5):669-670,674.
[14]邓婕,张晓蓉.不同机械力作用下兔前颌缝和颧颌缝改建的组织形态学研究[J].华中科技大学学报(医学版),2015,44(2):165-170.
[15]高伟成,陈小平,林金德,等.自体PRP/PRF脂肪颗粒移植面部填充的回顾性临床分析[J].中国美容整形外科杂志,2015,26(3):149-152.