摘要
目的总结采用助推器实施眶部自体脂肪注射移植的临床效果。方法回顾性分析2019年1月—2023年12月于解放军联勤保障部队第940医院烧伤整形科行眶部精细化自体脂肪注射移植者的临床资料,采用自主研发的恒量恒压微量可控自体脂肪移植助推器连接1 mL注射器对受术者进行眶部精细化自体脂肪注射移植,分析其治疗效果。结果共186例符合纳入和排除标准的受术者纳入本研究,其中女性165例,男性21例,平均年龄(39.0±7.1)岁(范围:23~71岁);上睑凹陷58例、内眦区凹陷45例、眼台区扁平34例、睑板区凹陷6例、泪沟凹陷43例。颗粒脂肪移植量为0.1~10 mL,平均3.5 mL;纳米脂肪注射量0.5~2.0 mL,平均0.5 mL。随访7 d至4年,所有受术者均未出现手术相关并发症,效果满意者163例(87.6%),效果一般者15例(8.1%),不满意者8例(4.3%)。结论采用恒量恒压微量可控的电动助推器辅助进行自体脂肪注射移植,实现了眶部自体脂肪移植的精细化管理,受术者满意度较高,值得临床推广应用。
Objective To summarize the clinical effect of using boosters for orbital autologous fat injec⁃tion transplantation.Methods A retrospective analysis was conducted on the clinical data of patients who un⁃derwent orbital fine autologous fat injection and transplantation at the Burn and Plastic Surgery Department of the 940th Hospital of the PLA Joint Logistics Support Force from January 2019 to December 2023.The patients were treated with orbital fine autologous fat injection and transplantation using a self⁃developed autologous fat transplantation booster with constant pressure and micro controllability connected to a 1 mL injector,and the therapeutic effect was analyzed.Results A total of 186 patients who met the inclusion and exclusion criteria were included in this study,including 165 females and 21 males,with the average age of(39.0±7.1)years old(range:23-71 years old).Of the 186 patients,58 cases were of upper eyelid depression,45 cases were of inner canthal depression,34 cases were of ocular platform flattening,6 cases were of meibomian depression,and 43 cases were of lacrimal groove depression.The transplantation volume of granular fat was 0.1-10 mL,with an average of 3.5 mL;the injection volume of nanofat was 0.5-2.0 mL,with an average of 0.5 mL.Fol⁃low up for 7 days to 4 years showed that 163 cases(87.6%)were satisfied with the results,15 cases(8.1%)had average results,and 8 cases(4.3%)were dissatisfied.No surgical complications occurred.Conclusion The use of a constant pressure and micro controllable electric booster to assist autologous fat injection transplan⁃tation could achieve precision in orbital autologous fat transplantation,with high patient satisfaction,meaning that it is worthy of clinical promotion and application.
作者
刘萍
刘毅
宋玫
杨福秀
李晓晓
汪引萍
LIU Ping;LIU Yi;SONG Mei;YANG Fuxiu;LI Xiaoxiao;WANG Yinping(Department of Burns and Plastic Surgery,the 940th Hospital of the PLA Joint Logistic Support Force,Lanzhou 730050,China)
出处
《协和医学杂志》
CSCD
北大核心
2024年第6期1342-1347,共6页
Medical Journal of Peking Union Medical College Hospital
关键词
自体脂肪注射移植
纳米脂肪
眶部
助推器
autologous fat injection transplantation
nano fat
orbital region
booster
