摘要
目的比较脂肪胶(stromal vascular fraction gel,SVF-gel)与透明质酸注射填充鼻唇沟凹陷的临床疗效。方法回顾性分析2018年9月~2020年9月期间,在本院行SVF-gel和透明质酸注射填充鼻唇沟凹陷的患者共96例,全为女性,SVF-gel组48例,透明质酸组48例。手术前后均行患者鼻唇沟形态评分,并随访记录患者术后满意度。采用SPSS19.0统计软件,对各项结果行统计学分析。结果随访6~12个月,SVF-gel组与透明质酸组术前鼻唇沟评分无明显差异(P>0.05),术后12月SVF-gel组鼻唇沟评分低于透明质酸组(P<0.05),患者满意率高于透明质酸组(P<0.05)。各组间术后鼻唇沟评分均低于术前(P<0.05)。鼻唇沟注射填充后,局部有轻度肿胀,6例出现皮肤瘀青,5~10d后自行消退。SVF-gel组中有4例首次术后鼻唇沟凹陷未完全改善,要求二次注射。随访期间两组均未出现局部感染、血肿、填充剂过敏等情况。结论SVF-gel和透明质酸注射填充鼻唇沟,术后效果明显,但是各有利弊。在临床应用时,医生应根据患者自身情况选择使用。
Objective To Compare the clinical efficacy of stromal vascular fraction gel(SVF-gel)and hyaluronic acid injection to fill the nasolabial fold.Methods From September 2018 to September 2020,96 patients who underwent SVF-gel and hyaluronic acid injections to fill the nasolabial fold in our hospital were retrospectively analyzed.All of them were women.There were 48 cases in the SVF-gel group and 48 cases in the hyaluronic acid group.The morphology of the nasolabial fold of the patients was scored before and after the operation,and the postoperative satisfaction of the patients was recorded after follow-up.We used SPSS19.0 statistical software to analysis all the recorded results.Results Follow-up for 6 to 12 months,the preoperative nasolabial fold scores of the SVF-gel group and the hyaluronic acid group were not significantly different(P>0.05).12 months after the operation,the nasolabial fold score of the SVF-gel group was lower than that of the hyaluronic acid group(P<0.05).and the satisfaction rate of patients was higher than that of the hyaluronic acid group(P<0.05).and the postoperative nasolabial fold scores in each group were lower than those before operation(P<0.05).Postoperatively,there was mild local swelling,and 6 cases had skin bruises,which resolved spontaneously after 5-10 days.In the SVF-gel group,4 cases of nasolabial depression did not completely improve after the first operation and required a second injection.During the follow-up period,there were no serious complications in the two groups,such as local infection,hematoma,allergy to filler,etc.Conclusion SVF-gel and hyaluronic acid injection have obvious effects after filling the nasolabial fold,but each has advantages and disadvantages.In clinical application,the doctor should make reasonable choices according to the patient’s own situation.
作者
郝丽娜
邵起可
张雪丽
卢尚兵
HAO Li-na;SHAO Qi-ke;ZHANG Xue-li;LU Shang-bing(Chengdu Qingyang Phil Medical Beauty Clinic,Sichuan Province,610000,China;Hamilton Plastic Surgery Hospital,Sichuan Province,610000,China;Department of Plastic and Aesthetic Surgery,Milanbavii Medical Aesthetic Hospital,Sichuan Province,610000,China)
出处
《中国医疗美容》
2022年第7期19-24,共6页
China Medical Cosmetology
关键词
鼻唇沟
脂肪胶(SVF-gel)
透明质酸
自体脂肪
the nasolabial folds
stromal vascular fraction gel
SVF-gel
hyaluronic acid
autologous fat
