水动力辅助负压吸脂与单纯负压吸脂在自体脂肪移植隆乳中的疗效比较  

Comparison of breast augmentation with autologous fat grafting under the water-assisted liposuction and negative pressure

作　　者：刘飞[1] 张陈威[1] 郭正东[1] 林海波[1] 秦王驰[1] 罗凯[1] 杨卫国[1] 梁智[1] 郭能强[2] 

机构地区：[1]广东医学院附属南山医院整形美容科,广东深圳518052 [2]华中科技大学同济医学院附属协和医院整形外科

出　　处：《中国美容整形外科杂志》2015年第8期460-462,共3页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的：探讨水动力辅助负压吸脂在自体脂肪移植隆乳中的效果，进一步寻找提高脂肪移植成活率的脂肪获取方法。方法自2012年9月至2014年8月，应用水动力辅助负压吸脂后行自体脂肪移植隆乳术，治疗先天性双侧小乳症患者21例。行水动力系统吸脂后，立刻将收集在密封系统中的自体脂肪颗粒，采用多层次、多遂道的方法移植于胸部受区。并与15例先天性双侧小乳症单纯负压吸脂隆乳患者的疗效相比较。结果所有患者治疗后，乳房体积均有增加，外观较好，质感佳。术后随访6个月，水动力组乳房体积增加更明显，差异有统计学意义（ P 〈0.05）；第2次手术后，两组患者乳房体积增加更显著，水动力组增加明显，差异有统计学意义（ P 〈0.05）。结论水动力辅助吸脂能明显提高自体脂肪移植成活率，提高自体脂肪移植隆乳的治疗效果，是目前较理想的脂肪获取方法。Objective To explore good results of breast augmentation with autologous fat grafting under water-assisted liposuction, further looking for the method of gaining fat to improve fat surviving rate. Metho ds From September 2012 to August 2014, 21 patients with bilateral congenital small breast diseases undergone the breast augmentation with autologous fat grafting under water-assisted liposuction. The autologous lipochon-dria from all patients were collected in a closed container and were implanted into breast at once by the multilay-er and multi-tunnel methods after water-assisted liposuction. Comparison of the operations between 21 cases treated by the method mentioned-above and 15 cases of congenital small breast diseases with simple negative pressure liposuction was performed. Results After 6 months following up, the volume of all breasts increased inordinately with the beautiful appearance and a good sense of touching. The result of second operation was bet-ter than the first one. Water-assisted liposuction group increased more obviously, the difference was statistically significant （ P 〈0. 05）. Conclusion Water-assisted liposuction can obviously increase fat surviving rate, improve the result of breast augmentation with autologous fat grafting. It is an ideal method to obtain autologous fat.

关 键 词：水动力辅助吸脂 自体脂肪移植 隆乳术 

分 类 号：R655.8[医药卫生—外科学]