自体脂肪颗粒移植在假体隆乳术中的应用

Application of autologous fat granule transplantation in prosthetic breast augmentation

目的探讨自体脂肪颗粒移植在硅胶假体隆乳术中的应用效果。方法自2016年1月至2019年11月,对9例假体隆乳术后形态不良的患者(A组)行自体脂肪颗粒移植矫正治疗;对13例小乳症或哺乳后乳房萎缩变小的患者(B组)先采用自体脂肪颗粒移植增加胸壁厚度,再行假体隆乳术;对两组患者的临床资料进行总结分析。结果A组双侧乳房形态明显改善,两侧基本对称,外形较术前自然、柔和。B组术后乳房外形良好,手感柔软,双侧对称。两组患者均于术后6个月行乳房超声检查;随访3个月至3年,均未发生乳房硬结、包块、脂肪液化等不良反应,患者均较满意。结论在假体隆乳手术前后采用自体脂肪颗粒移植可显著改善其手术效果,提高患者的满意率。

Objective To explore the application effect of autologous fat granule transplantation in the prosthetic breast augmentation.Methods From January 2016 to November 2019,9 patients with poor morphology after prosthetic breast augmentation in group A underwent autologous fat granule transplantation;13 patients with micromastia or breast atrophy in group B underwent autologous fat granule transplantation to increase the thickness of chest wall then underwent prosthetic breast augmentation.The clinical data of patients in both groups were summarized and analyzed.Results In group A,the morphology of bilateral breasts was significantly improved.Breasts of both sides were basically symmetrical and the appearance was more natural and soft than that before operation.In group B,the appearance of breast was good after operation.Breasts of both sides were soft and basically symmetrical.The ultrasound mammography was performed in patients of both groups at 6 months after operation.All patients were followed up from 3 months to 3 years.No adverse reactions such as induration,mass and fat liquefaction occurred.All patients were satisfied with the results.Conclusion The application of autologous fat granule transplantation before and after prosthetic breast augmentation could significantly improve the surgical efficacy and patients'satisfaction.