自体颗粒脂肪移植治疗凹陷性瘢痕效果观察  

Study on the Effect of Autologous Granular Fat Transplantation in the Treatment of Depressed Scar

作　　者：姜向海[1] 郝建国 陈明华 蔡景龙 JIANG Xianghai;HAO Jianguo;CHEN Minghua;CAI Jinglong(Department of Medical Cosmetology,Jinan Dermatosis Prevention and Control Hospital,Jinan 250001,Shandong,China;Caijinglong Medical Beauty Clinic,Jinan 250100,Shandong,China;Yanbian Hospital Affi liated to Yanbian University,Yanji 133000,Jilin,China)

机构地区：[1]济南市皮肤病防治院医学美容外科,山东济南250001 [2]蔡景龙医疗美容门诊部,山东济南250100 [3]延边大学附属延边医院,吉林延吉133000

出　　处：《中国美容医学》2022年第12期1-5,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:评价自体颗粒脂肪移植治疗凹陷性瘢痕的效果。方法:对2012年-2020年采用自体颗粒脂肪注射治疗半年以上的120例凹陷性瘢痕患者进行研究。轻度凹陷畸形56例,重度凹陷畸形64例。供脂区:腹部85例,股部23例,腰部7例,臀部5例。自体颗粒脂肪处理静置法72例,离心法48例。1次注射颗粒脂肪治疗者102例,2次注射颗粒脂肪治疗者18例。观察治疗后效果、患者满意度及并发症情况。结果:1次治疗显效率为80.83%(97/120),2次治疗后显效率为95.83%(115/120),总有效率均为100.00%。2次治疗后患者总满意度为100.00%(120/120),无明显并发症发生。结论:自体颗粒脂肪移植治疗凹陷性瘢痕,效果确切,并发症少,是凹陷性瘢痕的重要治疗方法,值得在临床上推广应用;对复杂性瘢痕畸形,需要根据瘢痕状况同时配合其他治疗方式。Objective To evaluate the effect of autologous granular fat transplantation in the treatment of depressed scar.Methods 120 patients with depressed scar treated by autologous granular fat injection for more than half a year from 2012 to 2020 were followed up.There were 56 cases of mild depression deformity and 64 cases of severe depression deformity.Fat supply area:85 cases in abdomen,23 cases in thigh,7 cases in waist and 5 cases in hip.72 cases were treated with autologous granular fat,and 48 cases with centrifugation.102 cases were treated with one injection of granular fat and 18 cases were treated with two injections of granular fat.The ef fect,patients,satisfaction and complications after treatment were observed.Results The ef fective rate was 80.83%(97/120)after one treatment and 95.83%(115/120)after two treatments.The total ef fective rate was 100.00%.After two treatments,the patients,satisfaction was 100.00%(120/120).And no obvious complications occurred.Conclusion Autologous granular fat transplantation is an important method for the treatment of depressed scar with defi nite ef fect and less complications,which is worthy of clinical application.For complex scar deformity,it is necessary to cooperate with other treatment methods according to the condition of scar.

关 键 词：凹陷性瘢痕 自体颗粒脂肪移植 综合治疗 疗效 满意度 

分 类 号：R619.6[医药卫生—外科学]