脂肪来源基质血管组分辅助自体脂肪移植提升颞部凹陷的效果

发布时间：2018-06-24 04:55

本文选题：脂肪来源基质血管组分 + 自体脂肪移植　；参考：《广东医学》2017年13期

【摘要】：目的评价脂肪来源基质血管组分(SVF)辅助的自体脂肪移植技术在颞部凹陷填充应用的安全性和有效性。方法 49例患者随机分成两组,SVF辅助脂肪移植组应用SVF辅助的自体脂肪移植技术,脂肪移植组应用传统的自体脂肪技术。术后随访至少12个月,采用颞部凹陷提升率二维测量法、颞部凹陷评分改善度法和患者满意率调查法评估术后有效性,比较术后并发症发生率评估术后安全性。结果相较于脂肪移植组,SVF辅助脂肪移植组的手术次数减少到了(1.45±0.49)次,单侧总计脂肪组织填充量减少到(17.65±6.93)m L,但颞部凹陷的提升率提高到(32.35±7.13)%、颞部凹陷评分改善度平均提高(2.50±0.71)分、患者满意率92.31%,且不增加术后并发症的发生率。结论 SVF辅助的自体脂肪移植技术改善颞部凹陷的有效性优于传统自体脂肪移植技术。
[Abstract]:Objective to evaluate the safety and efficacy of fat-derived stromal vascular component (SVF)-assisted autologous fat transplantation in temporal cavity filling. Methods Forty-nine patients were randomly divided into two groups: the SVF-assisted fat transplantation group was treated with SVF-assisted autologous fat transplantation, and the fat transplantation group was treated with the traditional autologous fat technique. All patients were followed up for at least 12 months. The two dimensional measurement of the lifting rate of temporal depression, the improvement of temporal depression score and the investigation of patients' satisfaction rate were used to evaluate the postoperative effectiveness, and the postoperative safety was evaluated by comparing the incidence of postoperative complications. Results compared with the fat transplantation group, the number of operations decreased to (1.45 卤0.49) times, the total fat tissue filling decreased to (17.65 卤6.93) mL, but the lifting rate of temporal depression increased to (32.35 卤7.13), and the score of temporal depression improved (2.50 卤0.71). The satisfaction rate was 92.31%, and the incidence of postoperative complications was not increased. Conclusion SVF-assisted autologous fat transplantation is more effective than conventional autogenous fat transplantation in improving temporal depression.
【作者单位】：广东医科大学附属医院整形外科;上海交通大学医学院附属第九人民医院整复外科;
【基金】：国家自然科学基金青年科学基金资助项目(编号:81501679)
【分类号】：R622

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