水动力辅助脂肪抽吸术在自体脂肪移植隆乳中的应用价值  

Application of water jet-assisted liposuction in augmentation mammoplasty with autologous fat graft

作　　者：周阎施婧[1] 叶松[1] 吴丹[1] 段波[1] 

机构地区：[1]湖北省妇幼保健院整形美容科,武汉430070

出　　处：《中华医学美学美容杂志》2015年第4期196-198,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨应用水动力辅助脂肪抽吸术进行自体脂肪移植隆乳的临床价值.方法 应用水动力辅助脂肪抽吸术进行自体脂肪移植隆乳20例,单侧乳房注射移植量平均为（210±39） ml,术前及术后分别对受术者胸围（TN）、双侧胸乳距（SN）及乳房高度（MP）进行测量,术后随访3～24个月,结合术前、术后照片比较,对临床效果进行评估.结果 所有病例均无感染,乳房外形良好,双侧乳房对称、饱满,效果满意,术后3个月胸围较术前明显增大[（88.7±2.9） cm比（87.2±4.2） cm,P＜0.01],双侧胸乳距明显增加[左（20.1±1.5） cm、右（20.1±1.5） cm比左（19.5±1.5） cm、右（19.5土1.6）cm,P＜0.01],乳房高度较术前明显增加[（4.6土0.4）cm比（4.2±0.9） cm,P＜0.05]. 结论 水动力辅助脂肪抽吸术应用于自体脂肪移植隆乳效果良好,操作简单方便,是一种值得推广的新方法.Objective To investigate the clinical value of breast augmentation with autologous fat graft using water jet-assisted liposuction （WAL） technique.Methods From October 2010 to December 2012,20 patients underwent Water Jet-Assisted Lipoplasty and breast augmentation with autologous fat tissue （average,210 ml volume injected per breast）.Pretreatment and posttreatment TN,bilateral SN and MP were measured,and the outcomes were statistically analysed using paired t test,combined with photos of pretreatment and posttreatment.Follow-up ranged from 3 months to 2 years.Results The results were satisfactory.All the patients got good shape of breasts.There was no infection in all the patients.TN and SN were signifigantly increased at 3 month after operation [（88.7±2.9） cm vs.（87.2±4.2） cm,P〈0.01],[left （20.1± 1.5） cm,right （20.1 ±1.5） cm,vs left （19.5±1.5） cm,right （19.5±1.6） cm,P〈0.01].MP was also increased compared with measurement of pre-operation [（4.6±0.4） cm vs.（4.2±0.9） cm,P〈0.05].Conclusions It is a good option to use water jet-assisted liposuction technique in the treatment of breast augmentation with autologous fat graft.

关 键 词：隆乳术 脂肪抽吸术 脂肪移植 自体 

分 类 号：R655.8[医药卫生—外科学] R622[医药卫生—临床医学]