Nanofat自体脂肪移植术改善面部瘢痕的疗效及护理研究  

Research on Application of Nanofat Autologous Fatin Facial Scar Grafting and Its Nursing

作　　者：曹凤[1] 佘文莉[1] 黄海玲[1] 刘晖[1] 张雅丽[1] 刘宏伟[1] CAO Feng;SHE Wen-li;HUANG Hai-ling;LIU Hui;ZHANG Ya-li;LIU Hong-wei(Department of Plastic Surgery,the First Affiliated Hospital of Jinan University,Guangzhou 510630,Guangdong,China)

机构地区：[1]暨南大学附属第一医院整形激光美容科

出　　处：《中国美容医学》2019年第6期152-155,共4页Chinese Journal of Aesthetic Medicine

基　　金：国家自然科学基金项目(编号:81272100;81372065)

摘　　要：目的:通过研究自体脂肪移植技术在改善面、颈部瘢痕中的应用,探讨其改善面、颈部瘢痕外观与皮肤组织质地的临床疗效。方法:选取2016年8月-2018年2月笔者科室收治的面颈部瘢痕患者40例,进行自体纳米脂肪填充术,运用肿胀麻醉技术在患者腰腹部、大腿外侧抽取脂肪,通过清洗、静置去除多余油脂及肿胀液后进行纳米技术处理,得到的纳米脂肪填充至患者额部、面颊部、颈部瘢痕处。术前进行围手术期宣教,术中密切监测患者生命体征,术后进行创面护理、心理护理及并发症护理,纳米脂肪移植的存活率是整个手术成功与否的关键,优质的围手术期护理协助保障手术的成功。结果:40例患者纳米脂肪填充术后愈后良好,满意度高。面颈部瘢痕质地变软,3个月后瘢痕颜色变浅,且未凸出于皮肤表面,个别痤疮所致的瘢痕皮肤肤质也变得细腻有光泽,痤疮凹陷及颜色变浅,炎症减轻。所有患者术后均未发生感染、血肿等并发症,且术后填充部位均未出现团状或条索状硬结。结论:纳米脂肪填充术具有创伤小、受区形态均匀自然、可终生存活等优势,术后效果良好,能有效改善面、颈部瘢痕,患者满意度高。Objective To explore the role of nanofat grafting in improving faciocervical scar appearance and skin texture.Methods 40 patients with faciocervical scar admitted to our department from August 2016 to February 2018 and underwent autologous nanofat grafting. Tumescent technique was employed to extract fat from the patients’ lumbar, abdomen and lateral thighs. These fats were processed by nanotechnology after washing and standing to eliminate excessive grease, the emulsified liquid obtained was the so-called nanofat, which was filled into the patients’ scars in the forehead, cheeks and neck.Preoperatively carry out perioperative publicity and education for patients,during the operation, patients’ vital signs were closely monitored, postoperative wound care, psychological care and complication care are particularly important. The survival rate of nano-fat transplantation is the key to the success of the whole operation, and the quality of the perioperative care is the key to the success of the operation. Results 40 patients recovered well with a high level of satisfaction. The texture of faciocervical scars was soft, the colors of these scars were lightened and they did not extrude on skin surface. The skin left by individual acnes became illuminating and smooth, the retractions caused by acnes were lightened, acne inflammation was alleviated, and their colors were lighter. No case suffered from postoperative infection, hematoma and other complications. There was no massive or stripy induration on the filling sites of these 40 patients after operation. Conclusion Autologous nanofat grating has the advantages of minimal trauma, uniform and natural shape of recipient area, and fat can survive for life after transplantation.Postoperative effect was good, which can effectively improve facial and neck scars, and patients’ satisfaction is high.

关 键 词：纳米脂肪 自体脂肪移植 面部瘢痕 护理 

分 类 号：R47[医药卫生—护理学] R622[医药卫生—临床医学]