自体脂肪颗粒注射移植美容术临床观察.docVIP

自体脂肪颗粒注射移植美容术临床观察[摘要]目的：观察总结自体脂肪颗粒注射移植美容术280例的临床效果。方法：在肿胀麻醉下采用注射器法从供区抽取自体脂肪液经清洗、纯化后将自体脂肪颗粒注射移植到面部凹陷部位及两侧乳房等受区。结果： 本组280例共756个部位自体脂肪颗粒注射移植后经3～60个月的随访观察，12例乳房和7例面部自体脂肪颗粒注射移植后脂肪吸收明显，占6.89%；3例单侧乳房出现硬结，占1.07%；其余受术者均获得满意的临床效果（92.14%）。结论：自体脂肪颗粒注射移植美容术是一种安全、无排斥、操作便利、效果良好的技术，尤其在修复面部凹陷更为理想，应成为首选方法。 [关键词]脂肪颗粒；自体移植；面部凹陷 [中图分类号]R622[文献标识码]A[文章编号]1008-6455（2008）03-03 Clinical observation of fat granules auto-transplantation in aesthetics ZHENG Quan-zhou (Department of Characteristic Aesthetic Surgery, Affiliated Hospital of Beihua University, Jilin 132011, Jilin, China) Abstract:ObjectiveTo observe and summarize the clinical effect of fat granules auto-transplantation by injection in 280 cases.MethodsThe fat granules were extracted with injector, purified and injected into the facial depression and breasts.Results756 sites in 280 cases were corrected with injecting autologous fat granules. Among the 280 cases followed up for 3~60 months, only 12 cases of breasts injection and 7 cases of facial injection were dissatisfied with autologous fat granules that were obviously absorbed, and the incidence rate was 6.89%. 3 cases (1.07%) occurred induration in the single breast. The others showed excellent or good augmentation results (92.14%).ConclusionThe fat granules auto-transplantation is a good, safe and effective technique for body depression, especially for facial concave deformity. It will be first selection for facial depression. Key words: fat granules; auto-transplantation; facial depression 面部软组织凹陷及女性小乳房，临床上较为多见，给患者心理、生理上造成不同程度的影响，以往在临床上应用的填充材料，因置入后可能出现严重的并发症，且有不同程度的排斥反应，患者很难接受。由于自体脂肪无排斥反应，来源丰富，操作便利，填充效果良好等优点，是迄今最为理想的软组织填充材料。2002年10月～2007年11月，我科采用自体脂肪颗粒注射移植技术治疗面部凹陷畸形和女性小乳症共计280例756个部位，取得满意的临床效果。 1临床资料 1.1一般资料：本组患者280例，共756个部位，女性259例，男性21例。年龄20～58岁，平均36岁。自体脂肪颗粒移植受区：面部凹陷畸形254例，704个部位，平均每例2.77个部位。面部凹陷畸形包括颞部凹陷、眼窝凹陷、颊部凹陷、鼻唇沟凹陷、先天性软组织凹陷及下颌后缩。凹陷的面积及深度各有不同，一次脂肪注射移植量为5～40ml；一次移植成功247例，需二次移植仅7例。女性小乳症26例，52只乳房。一次脂肪注射量为80～120ml,平均100ml；一次移植成功14例，需二次移植12例。自体脂肪