富血小板血浆联合自体脂肪颗粒移植隆乳效果探讨  

Effect of Platelet-rich Plasma(PRP)Combined with Autologous Fat Granule Transplantation on Augmentation Mammaplasty

作　　者：黄鲜 黄伟光[2] 莫让伟 吕志敏[4] HUANG Xian;HUANG Wei-guang;MO Rang-wei;LV Zhi-min(Department of Cosmetic Surgery,Chongqing Contemporary Plastic and Beauty Hospital,Chongqing 400020,China;Department of Plastic Surgery,the Second Affiliated Hospital of Chongqing Medical University,Chongqing 400010,China;Department of Cosmetic Surgery,Chongqing Sixth People's Hospital,Chongqing 400000,China;Department of Burn and Plastic Surgery,the First Affiliated Hospital of North Sichuan Medical College,Nanchong 637000,Sichuan,China)

机构地区：[1]重庆当代整形外科医院美容外科,重庆400020 [2]重庆医科大学附属第二医院整形美容外科,重庆400010 [3]重庆市第六人民医院美容外科,重庆400000 [4]川北医学院附属第一医院烧伤整形外科,四川南充637000

出　　处：《中国美容医学》2021年第8期12-15,共4页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究富血小板血浆(Platelet-rich plasma,PRP)联合自体脂肪颗粒移植隆乳对乳房体积和皮下脂肪厚度的影响。方法:回顾性收集2018年2月-2019年6月于笔者医院行隆乳术的95例患者(190个乳房)临床资料,根据手术方法分为对照组(n=47)和实验组(n=48)。对照组采用自体脂肪颗粒移植隆乳术,实验组采用PRP联合自体脂肪颗粒移植隆乳,两组术后均随访6个月。测量两组患者胸围及皮下脂肪厚度;测量两组患者手术前后的乳房体积,并计算脂肪移植存活率;统计两组患者满意度及术后不良反应发生情况。结果:术后1周、3个月和6个月两组胸围及脂肪厚度增加值逐渐减少,但实验组显著多于对照组,差异有统计学意义(P<0.05)。与术前相比,术后6个月两组两侧乳房体积显著增加,且实验组显著大于对照组,差异有统计学意义(P<0.05)。实验组平均脂肪移植存活率为(85.43±5.27)%,显著高于对照组的(67.84±4.79)%,差异有统计学意义(P<0.05)。术后6个月实验组的满意度为93.75%,显著高于对照组的78.72%,差异有统计学意义(P<0.05)。实验组患者并发症发生率为6.25%,显著低于对照组的12.77%,差异有统计学意义(P<0.05)。结论:PRP能够显著增加自体脂肪颗粒移植隆乳患者胸围及乳房皮下脂肪厚度,提高脂肪移植存活率,降低术后并发症发生率,且较单纯自体脂肪颗粒移植隆乳术后患者满意度高。Objective To investigate the effect of platelet-rich plasma(PRP)combined with autologous fat granules on breast volume and subcutaneous fat thickness in augmentation mammoplasty.Methods Clinical data of 95 patients(190 breasts)undergoing augmentation mammoplasty in our hospital from February 2018 to June 2019 were collected retrospectively.According to the surgical methods,they were divided into the control group(n=47)and the experimental group(n=48).The control group was treated with autologous fat granule augmentation mammoplasty,while the experimental group was treated with PRP combined with autologous fat granule augmentation mammoplasty.The two groups were followed up for 6 months after operation.Chest circumference and subcutaneous fat thickness were measured.Breast volume before and after surgery was measured in both groups,and fat transplantation survival rate was calculated.The satisfaction degree and postoperative adverse reactions of the two groups were counted.Results One week,3 months and 6 months after the operation,chest circumference and value added of fat thickness in the two groups gradually decreased,and the experimental group was significantly higher than the control group,the differences were statistically significant(P<0.05).Compared with the preoperative level,the volume of left and right breast in both groups increased significantly 6 months after surgery,and the experimental group was significantly larger than the control group(P<0.05).The average fat transplantation survival rate in the experimental group was(85.43±5.27)%,which was significantly higher than that in the control group(67.84±4.79)%,P<0.05.6 months after the operation,the satisfaction of the experimental group was 93.75%,significantly higher than that of the control group(78.72%,P<0.05).The complication rate of the experimental group was 6.25%,significantly lower than that of the control group(12.77%,P<0.05).Conclusion PRP can significantly increase the chest circumference and subcutaneous fat thickness of the breast in pa

关 键 词：自体脂肪颗粒移植 隆乳术 富血小板血浆 乳房皮下脂肪厚度 脂肪移植存活率 

分 类 号：R622[医药卫生—整形外科]