基质血管组分与自体脂肪混合填充隆乳术的临床应用  

Clinical application of transplantation of autologous fat with stromal vascular fraction for breast augmentation

作　　者：郑丽君[1] 赵启明[1] 茅东升[1] 司婷婷[1] 

机构地区：[1]解放军第一一七医院整形外科,杭州310013

出　　处：《中华医学美学美容杂志》2015年第6期331-333,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的 探讨基质血管组分（SVF）与自体脂肪混合填充隆乳术的临床效果.方法 15例受术者于局部麻醉下,采用SVF与自体脂肪混合填充隆乳术.分别于术前、术后行能谱宝石CT胸部三维重建,测量乳房皮下厚度,观察术前、术后乳房轮廓改善和并发症.结果 脂肪颗粒注射2次3例,其余均注射1次.术后6个月对注射效果表示满意13例,比较满意2例.乳房皮下厚度术前右侧（11±4）mm、左侧（11±6）mm;术后6个月右侧（14±3）mm、左侧（16±3）mm,差异均有统计学意义（P＞0.05）.乳房柔软,无结节、无钙化等并发症.结论 SVF与自体脂肪混合填充隆乳术是安全、有效的方法.结合胸部CT三维重建,可清晰显示乳房结构,有效指导隆乳术及评估脂肪颗粒移植效果.Objective To explore the clinical effect of transplantation of autologous fat with stromal vascular fraction for breast augmentation.Methods From September 2012 to March 2014,15 people accepted breast augmentation by transplanting autologous fat with SVF under local anaesthesia.Three-dimensional computer tomography reconstruction （3D-CT reconstruction） was applied preoperatively and postoperatively,the data of the thickness of breast＆#39;s subcutaneous tissue was compared to observe the breast contour improvement.Results Autologous fat was injected 2 times in 3 cases,and the rest were 1 time.6 months after operation,13 cases were satisfied with the results,and 2 cases were quite satisfied.3D-CT reconstruction was performed before operation and 6 months after operation;statistics showed that before operation the thickness of breast subcutaneous tissue of the right side was （11±4） mm,the left side was （11±6） mm;6 months after operation the right side was （14±3） mm,the left side was （16±3） mm （P〉0.05）.The breast was soft,no major complication such as nodules,cysts or calcification were seen.Conclusions The transplantation of SVF with autologous fat is a safe,effective procedure for breast augmentation.3D-CT reconstruction can show more details of breast structures,which is a more effective method to guide and evaluate the lipotrans plantation.

关 键 词：基质血管组分 隆乳术 脂肪颗粒 自体 移植 三维CT重建 

分 类 号：R622[医药卫生—整形外科]