颞部小切口除皱同期脂肪来源干细胞胶辅助自体脂肪移植用于面部年轻化的效果

Effect of temporal small incision rhytidectomy with SVF-gel assisted AFT on facial rejuvenation

目的分析颞部小切口除皱同期SVF-gel辅助AFT用于面部年轻化的效果。方法选取郑州人民医院2021年8月—2022年8月收治的行面部年轻化手术治疗的患者92例,按照手术方式不同分为对照组(n=49)与试验组(n=43),对照组实施颞部小切口除皱术同期AFT,试验组实施颞部小切口除皱同期SVF-gel辅助AFT。比较两组临床效果、颞部脂肪移植存留率、皮肤质地改变情况、并发症以及患者满意度。结果试验组优良率为88.37%,显著高于对照组的67.35%(P<0.05);试验组颞部脂肪移植存留率显著高于对照组(P<0.05);两组术后6个月面部皱纹、纹理、棕色斑、紫外线色斑较术前显著改善(P<0.05),且试验组优于对照组(P<0.05);试验组并发症总发生率为4.65%,显著低于对照组的32.65%(P<0.05);试验组满意度为97.67%,显著高于对照组的81.63%(P<0.05)。结论颞部小切口除皱同期SVF-gel辅助AFT用于面部年轻化可取得显著的临床效果,能够提高颞部脂肪移植存留率,改善面部皮肤质地,并减少术后并发症,患者满意度更高。

Objective To analyze the effect of temporal small incision rhytidectomy with SVF-gel assisted autofat trans⁃plation(AFT)on facial rejuvenation.Methods Totally 92 patients who were undergo facial rejuvenation surgery in the hospital from August 2021 to August 2022 were selected and divided into control group(n=49)and experimental group(n=43)according to different surgical methods.The control group underwent temporal small incision rhytidectomy with AFT,and the experimental group was given temporal small incision rhytidectomy with SVF-gel assisted AFT.The clinical effect,temporal fat transplantation retention rate,skin texture change,complications and patient satisfaction were com⁃pared between the two groups.Results The excellent and good rate in experimental group was 88.37%,which was signif⁃icantly higher than 67.35%in control group(P<0.05).The retention rate of temporal fat transplantation in experimental group was significantly higher compared with that in control group(P<0.05).Facial wrinkles,texture,brown spots and ultraviolet spots were significantly improved in both groups at 6 months after surgery compared to that before surgery(P<0.05),and the above indicators were better in experimental group than those in control group(P<0.05).The total incidence rate of complications was 4.65%in experimental group,which was significantly lower than 32.65%in control group(P<0.05).The satisfaction in experimental group was 97.67%,which was significantly higher than 81.63%in control group(P<0.05).Conclusion The application of temporal small incision rhytidectomy with SVF-gel assisted AFT in facial rejuvenation can achieve significant clinical effect,enhance the retention rate of temporal fat transplantation,improve the facial skin texture,and reduce the postoperative complications,and it has high patient satisfaction.