微创除皱术联合自体脂肪移植改善面部皮肤松垂的效果观察  

Observation of the Effect of Minimally Invasive Rhytidectomy Combined with Autologous Fat Transplantation in Treating Facial Skin Relaxation and Sagging

作　　者：鹿馨方 王刚 LU Xinfang;WANG Gang(Department of Plastic Surgery,Hegang People's Hospital,Hegang 154101,Heilongjiang,China)

机构地区：[1]鹤岗市人民医院整形美容科,黑龙江鹤岗154101

出　　处：《中国美容医学》2024年第9期21-25,共5页Chinese Journal of Aesthetic Medicine

摘　　要：目的:探究微创除皱术联合自体脂肪移植技术在面部皮肤松垂就医者中的治疗效果。方法:前瞻性选取2021年12月-2022年12月于笔者医院就诊的82例面部皮肤松垂就医者为研究对象,采用随机数字表法分为观察组(n=41例,采用微创除皱术联合自体脂肪移植术治疗)和对照组(n=41例,采用微创除皱术联合硅胶填充手术治疗)。比较两组就医者术后1周的修复效果、面部轮廓指标及手术不良反应;术后随访6个月,统计并比较两组结节、肿胀、感染、神经损伤等术后并发症发生率。结果:术后1周,观察组修复显效率高于对照组(P<0.05);观察组就医者的瞳孔点至鼻唇沟与瞳孔垂线交点距离、ABC弧度(A、B、C分别表示鼻底线、口裂线、瞳孔垂线与下颌轮廓交点之间的角度)均低于对照组,双侧颧点间距高于对照组(P<0.05);观察组面部明显淤青发生率低于对照组(P<0.05);随访6个月,观察组术后并发症总发生率低于对照组(P<0.05)。结论:微创除皱术联合自体脂肪移植技术可有效改善就医者面部轮廓,修复效果佳,能有效降低手术不良反应及术后并发症发生率,具有较高的临床应用价值。Objective To explore the therapeutic effect of minimally invasive rhytidectomy combined with autologous fat transplantation on patients with facial skin relaxation and sagging.Methods 82 patients with facial skin relaxation and sagging admitted to the author's hospital from December 2021 to December 2022 were prospectively selected as the study subjects and were divided into observation group(n=41,minimally invasive rhytidectomy combined with autologous fat transplantation)and control group(n=41,minimally invasive rhytidectomy combined with silicone filling surgery)by the random number table method.The facial contour indicators,repair effect and surgical adverse reactions were compared between both groups at 1 week after surgery.The patients were followed up for 6 months after surgery,and the incidence rates of postoperative complications such as nodules,swelling,infection and neurologic damage were counted and compared.Results One week after surgery,the repair significant efficiency of the observation group was higher than that of the control group(P<0.05).The distance from pupil point to the intersection of nasolabial groove and pupil vertical line and ABC radian(A,B and C indicated the angles between nasal bottom line,oral cleft line,pupil vertical line and mandibular contour)in observation group were lower than those in control group,and the distance between bilateral zygomatic points was higher than that in control group(P<0.05).The incidence rate of significant facial bruising was lower in observation group than that in control group(P<0.05).After 6 months of follow-up,the total incidence rate of postoperative complications in observation group was lower compared with that in control group(P<0.05).Conclusion Minimally invasive rhytidectomy combined with autologous fat transplantation can effectively improve the facial contour of patients,and it has good repair effect and can effectively reduce the incidence rates of surgical adverse reactions and postoperative complications,which has high clinical applicati

关 键 词：面部松弛下垂 微创面部除皱术 自体脂肪 移植 硅胶填充 

分 类 号：R622[医药卫生—整形外科]