脂肪干细胞辅助的自体脂肪移植隆乳术

Adipose derived stem cells autologous fat transplantation for breast augmentation auxiliary

目的：研究并分析脂肪干细胞辅助的自体脂肪移植隆乳术的效果。方法：本组72患者为健康成年女性,年龄为18~53岁,平均年龄为（30.4±1.3）岁,本组患者均由于自然原因整形,行脂肪干细胞辅助的自体脂肪移植隆乳术,统计治疗效果。结果：本组72例患者66例行一次手术,6例行二次手术,无患者出现严重的后遗症与并发症,其中1例患者发生切口感染,经过针对性的处理后痊愈。其中3例注射量超过400ml的患者在复查时出现纤维化硬结,后逐渐好转,大多数患者对手术效果满意。手术完成后2周患者平均隆起值为14.34mm,术后52例患者复查,保持率为79.04%,术后46例患者复查,保持率为71.42%,患者术前隆起情况均优于术前,手术后与手术前隆起情况差异显著,上述数据组间比较差异显著（P〈0.05）,差异有统计学意义。结论：脂肪干细胞辅助自体脂肪移植隆乳术有着成本低廉、无免疫排斥反应、操作简单、无瘢痕、乳房形体好的优势,该种措施值得在临床中推广和使用。

Objective： To study and analyze the adipose derived stem cells assisted autologous fat transplantation breast augmentation effect. Method： 72 patients with healthy adult female, age 18-53 years old, mean age （30.4±1.3） years old, this group of patients were due to natural causes plastic, for adipose stem cells assisted autologous fat transplantation breast augmentation, curative effect statistics. Results： in this group, 72 cases in 66 patients underwent an operation, 6 underwent two operation, no patients had sequelae and serious complications, including incision infection occurred in 1 patients, the targeted treatment after recovery. Among the 3 cases of injection volume of more than 400ml of patients in review appeared fibrosis induration, gradually improved after operation, the majority of patients were satisfied. After the operation 2 weeks average uplift in patients with 14. 34mm, 52 postoperative patients were reexamined, retention rate was 79.04%, 46 cases of postoperative patients, retention rate of 71.42%, patients with preoperative uplift were better than that before operation, after operation and condition operation significantly difference uplift, the significant difference between the two groups （data p〈0.05） , the difference was statisticaily significant. Conclusion： adipose derived stem cells assisted autologous fat transplantation augmentation mammoplasty with low cost, no immunological rejection, simple operation, no scar, breast shape good advantage, the measures should be promoted and used in clinical.