高频超声在颜面部自体脂肪颗粒注射移植再次注射中的应用价值

doi:10.13481/j.1671-587x.20170134

吉林大学学报(医学版) ›› 2017, Vol. 43 ›› Issue (01): 170-175.doi: 10.13481/j.1671-587x.20170134

高频超声在颜面部自体脂肪颗粒注射移植再次注射中的应用价值

郑文¹, 陈宝峰², 李洁¹, 周莹莹¹

1. 广西壮族自治区南宁市第一人民医院超声科, 广西南宁 530001;
2. 广西壮族自治区南宁市第一人民医院整形美容外科, 广西南宁 530001

收稿日期:2016-04-06 出版日期:2017-01-28 发布日期:2017-02-08
通讯作者: 郑文,副主任医师(Tel:0771-2636229,E-mail:424222670@qq.com) E-mail:424222670@qq.com
作者简介:郑文(1973-),女,广西壮族自治区南宁市人,副主任医师,主要从事超声影像学方面的研究。
基金资助:
广西壮族自治区卫生厅科研项目资助课题（Z2011108）

Application value of high frequence ultrasound in reinjection of facial autologous fat granule injection transplantation

ZHENG Wen¹, CHEN Baofeng², LI Jie¹, ZHOU Yingying¹

1. Department of Ultrasonic Medicine, First People's Hospital of Nanning, Guangxi Zhuang Autonomous Region, Nannning 530001, China;
2. Department of Plastic and Aesthetic Surgery, First People's Hospital of Nanning, Guangxi Zhuang Autonomous Region, Nanning 530001, China

Received:2016-04-06 Online:2017-01-28 Published:2017-02-08

摘要/Abstract

摘要：

目的：探讨自体脂肪颗粒注射移植术后移植脂肪成活率简单、有效、可行的评价方法，为再次注射时临床医生选择注射剂量提供客观依据。方法：选取60例为颜面部轮廓塑形选择进行自体脂肪颗粒注射移植术且需再次注射者，按就诊顺序分为观察组和对照组，各30例。观察组受试者通过高频超声测量术后1周和术后3个月移植脂肪体积或移植区皮下定点软组织厚度的变化推算植入脂肪成活率，再次注射剂量由首次注射时推算出的移植脂肪成活率决定；对照组受试者再次注射剂量为临床医生按经验判断填充实际所需脂肪量基础上再过度矫正40%。再次注射术后3个月由手术者、受术者及第三方填写手术效果调查表，结合超声检查结果，对2组受试者满意率结果（每个受试者有4个评价结果）进行比较。结果：观察组受试者术后1周和术后3个月采用高频超声探查，30例59个部位均能识别出移植脂肪范围，其中39个部位可通过移植脂肪长、宽、厚的测量值推算其体积，20个部位移植脂肪范围较大者记录移植受区皮下定点软组织厚度，通过移植脂肪体积或厚度变化推算其成活率为52%~80%，根据脂肪移植成活率选取再次注射剂量。再次注射术后3个月复查，观察组1例移植脂肪中出现硬结，对照组有硬结3例，囊肿1例。观察组术后总满意率91.7%，对照组术后总满意率80.0%，组间比较差异有统计学意义（P<0.05）。结论：高频超声是了解移植脂肪存在状态和评价移植脂肪成活率简单有效的方法，可提高再次注射的手术满意度。

关键词: 脂肪移植, 成活率, 再次注射, 高频超声

Abstract:

Objective: To investigate a simple and effective method of evaluating the fat graft survival rate after transplantation, and to provide the objective basis for the clinicians to select the dose of rejection.Methods: A total of 60 cases underwent facial autologous fat granule injection transplantation and needed reinjection were selected. They were divided into observation group and control group (n=30) according to the treatment order. The changes of fat volume or the thickness of subcutaneous tissue in transplantation area of the subjects in observation group were measured by high frequency ultrasound one week and three months after operation, the fat graft survival rate after transplantation was calculated, and the reinjection dose was determined by the fat graft survival rate after one-stage operation. In control group, the reinjection dose was on the basis of the amount of fat needed to be over corrected 40% determined by the doctor's experience. The operation effect questionnaire was filled out by the operator, the patients and the third party 3 months after reinjection; combined with the ultrasound examination results, the results of the satisfaction rate of the subjects were compared between two groups.Results: In observation group, 30 cases were able to identify the range of fat graft, in which the volumes of 39 parts could be calculated by measuring the length, width and thickness of the grafts; the thickness of soft tissue of subcutaneous tissue in transplantation area of 20 parts with large transplantation area was recorded,and the survival rates was 52%-80% which was calculated by the changes of the fat volume or the thickness of graft, and the reinjection dose was selected according to the survival rate of fat transplantation. 1 case of fat transplantation appeared induration in observation group, 3 cases in control group, and 1 case presented cyst 3 months after reinjection. The total satisfaction rate after operation in observation group was 91.7%, and the total satisfaction rate after operation in control group was 80.0%; the difference was significant(P>0.05).Conclusion: High frequency ultrasound is a simple and effective method to evaluate the survival rate of transplanted fat, and it can improve the satisfaction of reinjection.

Key words: survival rate, reinjection, high frequency ultrasound, fat transplantation

中图分类号:

R445.1

郑文, 陈宝峰, 李洁, 周莹莹. 高频超声在颜面部自体脂肪颗粒注射移植再次注射中的应用价值[J]. 吉林大学学报(医学版), 2017, 43(01): 170-175.

ZHENG Wen, CHEN Baofeng, LI Jie, ZHOU Yingying. Application value of high frequence ultrasound in reinjection of facial autologous fat granule injection transplantation[J]. Journal of Jilin University Medicine Edition, 2017, 43(01): 170-175.

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高频超声在颜面部自体脂肪颗粒注射移植再次注射中的应用价值

Application value of high frequence ultrasound in reinjection of facial autologous fat granule injection transplantation

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