自体脂肪注射联合聚对二氧环己酮平滑线埋置填充鼻唇沟的临床疗效

Clinical efficacy of injected autologous fat and buried polydioxanone threads for nasolabial fold filling

目的探讨自体脂肪注射联合聚对二氧环己酮(PPDO)平滑线埋置填充鼻唇沟的临床效果。方法2016年4月至2017年10月,将浙江建德市第一人民医院整形外科64例女性轻中度鼻唇沟美容就医者分成A、B两组,年龄20~48岁。A组28例行单纯PPDO平滑线埋置,B组36例行PPDO平滑线埋置,同时实施自体脂肪注射填充。术后即刻至术后18个月采用门诊、微信、电话方式随访记录患者肤色、肤质、鼻唇沟填充情况。结果术后即刻两组美容就医者局部均有肿胀、瘀斑、疼痛感。术后2周随访,两组各有2例出现局部线头外露。随访大于3个月,两组肤色、肤质均有改善,A组9例鼻唇沟填充欠佳,B组2例填充不足,其余美容就医者均达到满意效果。结论自体脂肪注射联合PPDO平滑线填充鼻唇沟,外观效果好。

Objective To investigate the clinical application of injected autologous fat and buried polydioxanone threads for nasolabial fold filling.Methods From April 2016 to October 2017,64 cases of mild and moderate nasolabial fold beauty seekers from the First People's Hospital of Jiande were divided into group A and group B with their attitude.Group A(28 cases)were only treated with buried polydioxanone threads for nasolabial fold filling;Group B(36 cases)were treated with injected autologous fat and buried polydioxanone threads for nasolabial fold filling.The surgical effect was recorded for 18 months.Results The most common complications were swelling,bruising and pain immediately after the surgery.Polydioxanone threads exposure occurred in two cases in each group 2 weeks after the surgery.There were satisfactory results in skin color and skin texture in both groups.9 cases showed inadequate correction in group A while only 2 cases showed inadequate correction in group B in long-term follow-up(>3 months).Conclusions Combined treatment of autologous fat and polydioxanone threads is safe and effective for nasolabial fold filling.