基于中面部深层脂肪解剖亚单位的自体脂肪精细移植的效果评价  

Effect of micro-autologous fat transplantation based on anatomical sub-unit principle of mid-face deep fat tissue

作　　者：曾令寰[1] 岑瑛[2] 陈俊杰[2] 蕾蕾 秦小惠[1] 王娅[1] 曾传秀 

机构地区：[1]四川省中西医结合医院医疗美容科,成都610041 [2]四川大学华西医院烧伤整形外科,成都610041

出　　处：《华西医学》2017年第12期1876-1881,共6页West China Medical Journal

摘　　要：目的探讨基于中面部深层脂肪的解剖亚单位的中面部凹陷自体脂肪精细移植(micro-autologous fat transplantation,MAFT)充填术的治疗效果。方法选取2014年8月—2016年2月在四川省中西医结合医院接受脂肪颗粒移植充填手术的中面部凹陷患者46例为研究对象,随机分为研究组和对照组,每组各23例。两组均采用MAFT方法并使用MAFT枪施行脂肪移植术。研究组采用基于中面部深层脂肪的解剖亚单位的中面部MAFT术,充填下眼轮匝肌下脂肪垫(suborbicularis oculi fat,SOOF)区16例、面中部深层脂肪(deep media cheek fat,DMCF)区23例和颊脂垫(buccal fat,BF)区13例,其中SOOF和DMCF区直接注射至该区域深层脂肪,BF区注射同时在相应的皮下脂肪浅层进行扇形注射。对照组采用常规方法于中面部深、浅层脂肪均匀移植。对两组患者的治疗效果和患者满意度进行对比研究。结果研究组患者的疗效优良率与完全满意率(91.3%、82.6%)均优于对照组(60.9%、43.5%),差异有统计学意义(P<0.05)。所有患者术后随访6个月~2年,平均随访时间为1年,无相关并发症发生。结论以中面部深层脂肪的解剖学亚单位结构(即SOOF、DMCF、BF)为基础的MAFT颗粒脂肪注射充填方法,脂肪移植精确到位,可以有效增加中面部区域深层脂肪移植的手术效果,可有效地改善中面部凹陷、衰老等临床表现。Objective To explore the therapeutic effect of micro-autologous fat transplantation （MAFT） based on anatomical sub-unit principle of mid-face deep fat tissue in mid-face volumetric augmentation operation. Methods From August 2014 to February 2016, 46 patients suffering volumetric defect of mid-face were divided into the research group and the control group with 23 in each. The MAFT method was used in the two groups. Patients in the research group underwent fat transplatation based on anatomical sub-unit principle of mid-face deep fat tissue, of whom 16 accepted fat transplantaion in suborbicularis oculi fat area, 23 in deep media cheek fat area and 13 in buccal fat area. Patients in the control group accept conventional fat transplantation method; the fat granule were uniformly transplanted to the deep and superficial mid-face fat tissue. The curative effiency and patients＇ satisfaction were compared between the two groups. Results The curative effiency and patients＇ satisfaction of the research group （91.3%, 82.6%） were better than those of the control group （60.9%, 43.5%）, and there were significant differences （P〈0.05）. All patients were followed up for 6 months to 2 years, with an average of 1 year. No complication occurred in both groups. Conclusion The MAFT operation based on anatomical sub-unit principle of mid-face deep fat tissue could precisely perform mid-face volumetric augmentation and rejuvenation.

关 键 词：中面部深层脂肪 解剖亚单位 自体脂肪精细移植 

分 类 号：R622.9[医药卫生—整形外科]