小颗粒脂肪注射改善面部烧伤瘢痕  

Effect of microfat injection on facial burn scars

作　　者：王月[1] 刘冰 朱童[2] Wang Yue;Liu Bing;Zhu Tong(Department of Plastic Surgery,Fifth Affiliated Hospital of Zhengzhou University,Zhengzhou 450052,China;Department of Burn and Plastic Cosmetic Surgery,Liaocheng People's Hospital,Liaocheng 252000,China)

机构地区：[1]郑州大学第五附属医院整形美容科,郑州450052 [2]聊城市人民医院烧伤整形美容科,山东聊城252000

出　　处：《中华医学美学美容杂志》2021年第4期317-319,共3页Chinese Journal of Medical Aesthetics and Cosmetology

摘　　要：目的探讨小颗粒脂肪注射对面部烧伤瘢痕改善作用及并发症的影响。方法2019年1月至2020年1月,郑州大学第五附属医院整形美容科收治面部烧伤瘢痕患者46例,其中男22例、女24例;年龄15~56(47.57±4.80)岁。所有患者用自体小颗粒脂肪注射,观察临床疗效、温哥华瘢痕评分(VSS)、并发症情况、满意度。结果46例患者治疗前VSS评分(13.15±2.36)分,治疗2个月(11.06±1.78)分,治疗4个月(9.18±1.37)分,治疗6个月(7.23±1.09)分,差异有统计学意义(均P<0.05)。46例患者中,痊愈19例占41.30%,显效17例占36.96%,有效7例占15.22%,无效3例占6.54%;总有效42例占93.48%。并发症发生4例,并发症发生率8.70%,均经相应处理治愈;患者满意42例,满意度91.30%。结论小颗粒脂肪注射治疗面部烧伤瘢痕疗效显著,可明显改善瘢痕,且并发症较少,患者较满意。Objective To investigate the effect and complications of microfat injection on facial burn scars.Methods Forty-six patients with burn scars underwent microfat injection in plastic surgery department of the Fifth Affiliated Hospital of Zhengzhou University from January 2019 to January 2020 were enrolled.The clinical efficacy,Vancouver Scar Scale(VSS)score,complication rate and satisfaction degree were recorded.Results The VSS scores of 46 patients were(13.15±2.36)at baseline,(11.06±1.78)at 2 months after treatment,(9.18±1.37)at 4 months after treatment,and(7.23±1.09)at 6 months after treatment,with significant difference(P<0.05).Of the 46 patients,19 were cured(41.30%),17 were significantly effective(36.96%),7 were effective(15.22%),and 3 were ineffective(6.54%),with a total effective rate of 93.48%(42/46).Complications occurred in 4 cases,with a complication rate of 8.70%,all of which were cured by corresponding treatment.A total of 42 patients were satisfied,with a satisfaction rate of 91.30%.Conclusions Microfat injection for facial burn scars can effectively improve the color and texture of the scar,with low complication rate and high satisfaction rate.

关 键 词：瘢痕 注射 小颗粒 烧伤 并发症 

分 类 号：R622[医药卫生—整形外科]