脂肪干细胞胶填充颞部凹陷的临床应用  

The application of stromal vascular fraction gel in temple augmentation

作　　者：夏学颖[1] 邹敬江 孙赛[1] 柳丛 李丽燕[1] 陈容容[1] XIA Xueying;ZOU Jingjiang;SUN Sai;LIU Cong;LI Liyan;CHEN Rongrong(Department of Medical Cosmetology,Guangdong Wemen and Children Hospital,Guangdong Province,510515,China;Department of science and education,Shenzhen Nanshan People’s Hospital,Guangdong Province,518052,China)

机构地区：[1]广东省妇幼保健院医学美容科,广东广州510515 [2]华中科技大学协和深圳医院科教科,广东深圳518052

出　　处：《中国医疗美容》2024年第9期26-29,共4页China Medical Cosmetology

基　　金：广州市科技计划项目(202102080476);广东省医学科学技术研究基金(A2022244)。

摘　　要：目的 探讨脂肪干细胞胶填充颞部凹陷的临床应用效果。方法 回顾性分析2021年3月至2023年3月广东省妇幼保健院医学美容科收治的因颞部凹陷要求手术修复患者24例(48侧)临床资料。采用肿胀吸脂术抽取皮下脂肪,制备脂肪干细胞胶。采用深注浅铺法(选取颞部凹陷最深处2~4个点进针,分别于颞肌-骨膜间隙锐针注射、颞浅筋膜浅层钝针平铺)进行脂肪干细胞胶移植。术后定期随访,调查凹陷严重程度评价量表,医师、患者及第三方满意度。结果 所有患者均顺利完成手术,单侧移植剂量6.0~12.0 mL,平均8.9 mL。术后有2例皮肤出现局部淤青,1周左右逐步消退,未出现严重并发症。术后随访 6~12个月,颞部轮廓及饱满度、皮肤质地均得到改善,无局部结节、无凹凸不平。32侧(66.7%)颞部凹陷术后改善≥2级,医师、患者双方及第三方满意率均大于 87.5%。结论 应用深注浅铺法行脂肪干细胞胶填充颞部的临床效果好,简单易行,值得推广。Objective To investigate the clinical efficacy of stromal vascular fraction gel(SVF-gel)in the treatment of temporal hollowing.Methods The clinical data of 24 patients(48 sides)with temporal depression requiring surgical repair admitted to the medical cosmetology department of Guangdong Maternal and Child Health Hospital from March 2021 to March 2023 were retrospectively analyzed.Subcutaneous fat was extracted by tumescent liposuction to prepare adipose stem cell glue.Fat stem cell glue transplantation was performed by deep injection and shallow spreading method(selecting 2 to 4 points at the deepest part of the temporal depression for needle entry,sharp needle injection in the temporal muscle periosteum space,and blunt needle tiling in the superficial temporal fascia).The patients were followed up regularly after operation to investigate the depression severity evaluation scale and the satisfaction of doctors,patients and third parties.Results All patients successfully completed the operation,and the unilateral transplantation dose was 6.0~12.0 mL,with an average of 8.9 mL.Local bruising occurred in 2 cases after operation,which gradually subsided in about oneweek without serious complications.After 6~12 months of follow-up,the temporal contour,plumpness and skin texture were improved,without local nodules and uneven.32 sides(66.7%)of temporal depression improved≥2 grades after surgery,and the satisfaction rate of doctors,patients and the third party was greater than 87.5%.Conclusions The clinical effect of applying deep injection and shallow spreading method to fill the temporal region with adipose stem cell glue is good,simple and feasible,and worthy of promotion.

关 键 词：脂肪干细胞胶 颞部凹陷 凹陷严重程度评价量表 

分 类 号：R622[医药卫生—整形外科]