自体脂肪移植和传统脂肪筋膜瓣移植治疗半侧颜面萎缩症的临床效果对比  

Comparison of Effect of Autologous Fat Transplantation and Traditional Fat Fascial Flap Transplantation in the Treatment of Hemifacial Atrophy

作　　者：王洋 张永军 刘振楠 WANG Yang;ZHANG Yongjun;LIU Zhennan(Department of Burn Plastic Surgery and Medical Cosmetology,the First Affiliated Hospital of Xinxiang Medical College,Xinxiang 453100,China)

机构地区：[1]新乡医学院第一附属医院烧伤整形与医疗美容科,河南新乡453100

出　　处：《河南医学研究》2024年第22期4099-4102,共4页Henan Medical Research

摘　　要：目的对比自体脂肪移植、传统脂肪筋膜瓣移植治疗半侧颜面萎缩症的临床效果。方法选取新乡医学院第一附属医院2020年3月至2022年8月收治的71例半侧颜面萎缩症患者,按照治疗方式分为对照组(传统脂肪筋膜瓣移植治疗)和观察组(自体脂肪移植治疗),其中对照组32例,观察组39例。比较两组临床疗效、治疗前后炎症指标水平、生活质量及治疗后并发症发生情况。结果观察组临床有效率高于对照组(P<0.05)。治疗后,观察组世界卫生组织生存质量表评分高于对照组(P<0.05)。观察组并发症发生率低于对照组(P<0.05)。结论对半侧颜面萎缩症患者采用自体脂肪移植治疗较传统脂肪筋膜瓣移植治疗能显著提高临床效果及生活质量,减少并发症的发生。Objective To compare the clinical effects of autologous fat transplantation and traditional fat fascial flap transplantation in the treatment of hemifacial atrophy.Methods A total of 71 patients with hemifacial atrophy admitted to the First Affiliated Hospital of Xinxiang Medical College from March 2020 to August 2022 were selected as the study subjects.According to the treatment methods,they were divided into control group(traditional fat fascia flap transplantation treatment)and observation group(autologous fat transplantation treatment),including 32 cases in the control group and 39 cases in the observation group.The clinical efficacy,inflammatory indexes,quality of life and postoperative complications were compared between the two groups.Results The clinical effective rate of the observation group was higher than that of the control group(P<0.05).After treatment,the World Health Organization’s quality of life questionnaire-brief version score of the observation group was higher than that of the control group(P<0.05).The incidence of complications in the observation group was lower than that in the control group(P<0.05).Conclusion Compared with traditional fat fascia flap transplantation,autologous fat transplantation in patients with hemifacial atrophy can significantly improve the clinical effect and quality of life,and reduce the occurrence of complications.

关 键 词：半侧颜面萎缩症 自体脂肪移植 传统脂肪筋膜瓣移植 

分 类 号：R622[医药卫生—整形外科]