真皮-脂肪块联合重复脂肪颗粒移植在面部重度凹陷畸形修复中的应用  

Dermal-fat graft combined with secondary autologous fat transplantation to reconstruct severe facial depression

作　　者：张爱君[1] 金培生[1] 陶常波[1] 李雪阳[1] 李强[1] 马志兵[1] 

机构地区：[1]徐州医学院附属医院整形外科,221005

出　　处：《中华医学美学美容杂志》2012年第6期420-422,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨真皮-脂肪块联合重复脂肪颗粒移植治疗面部霞度凹陷畸形的修复斤法及其效果。方法对12例面部重度凹陷畸形患者，Ⅰ期切取腹部真皮-脂肪组织块，填充于面部凹陷区，半年后进行重复脂肪颗粒注射移植．其中3例再复注射3次．6例2次，3例1次。每次间隔3～6个月。通过术前、术后照片比较，评价治疗效果。结果12例患者中．1例于Ⅰ期移植术后出现血肿予以清除。随访6个月至2年，面部凹陷改善均较满意。结论游离真皮-脂肪块联合重复脂肪颗粒注射移植修复叫部蚕度凹陷畸形，于术安全．操作简单．效果良好，值得推广。Objective To investigate the method of dermal-fat graft combined with secondary aulologous fat lransplantation in repairing severe facial depression and to evaluate the clinical effects. Methods Twelve cases of facial depression had been repaired by the transplantation of dermal-fat flap which was removed from the abdomen at the first stage. They were given fat granules injection 1 to 3 times postoperatively, and 3, 6 and 3 patients were given fat granules injection three times, twice and once, respectively, with the interval period of 3 to 6 months. The result was based on comparison of the photos taken from preoperation and postoperation. Results All patients were healed primarily ex cept one of which was formed hematoma after operation and scavenged thereafter. After 6 months to 2 years follow-up, all the patients had satisfactory facial contour. Conclusions Combined autologous fat granules with free dermal-fat graft to reconstruct severe facial depress is an easy, safe and effective technique and deserves to be recommended.

关 键 词：面部凹陷 脂肪移植术 真皮-脂肪块 修复 

分 类 号：R622[医药卫生—整形外科]