面颈部吸脂结合脂肪移植在瘢痕整形中的临床应用观察

目的:探讨与观察面颈部吸脂结合脂肪移植在瘢痕整形中的临床应用效果。方法:采用回顾性研究方法,选择2017年8月到2020年6月在本院诊治的面颈部瘢痕患者78例作为研究对象,根据随机信封抽签原则把患者分为联合组与对照组各39例。对照组给予面颈部吸脂治疗,联合组给予面颈部吸脂结合脂肪移植治疗,治疗观察3个月。结果:联合组治疗后瘢痕部位的疼痛分级与对照组对比差异无统计学意义(P>0.05)。两组治疗后的美容权重评分与瘢痕基底深度都低于治疗前(P<0.05),联合组低于对照组(P<0.05)。治疗后联合组的总有效率为97.4%,高于对照组的82.1%(P<0.05)。联合组治疗期间的感染、栓塞、出血、神经损害等并发症发生率为5.1%,低于对照组的28.2%(P<0.05)。结论:面颈部吸脂结合脂肪移植在瘢痕整形中的临床应用并不会增加患者的疼痛,还能降低瘢痕基底深度与减少并发症的发生,提高患者的美容度与总体治疗效果。

Clinical Observation of Face and Neck Liposuction Combined with Fat Transplantation in Scar Plastic Surgery

Objective: To explore and observe the clinical application effects of face and neck liposuction combined with fat grafting in scar plastic surgery. Methods: Used the retrospective research methods, from August 2017 to June 2020, 78 cases of patients with facial and neck scars who were diagnosed and treated in our hospital were selected as the research objects. All the cases were divided into the combination group and control group with 39 cases each groups accorded to the random envelope drawing principle. The control group were given face and neck liposuction treatment, and the combination group were given face and neck liposuction combined with fat transplantation. The treatment were observed for 3 months. Results: There were no significant difference in the pain grading of scars in the combination group compared with the control group after treatment(P>0.05). The beauty weight score and the depth of scar base after treatment in the two groups were lower than before treatment(P<0.05), and thecombination group were lower than the control group(P<0.05). After treatment, the total effective rate of the combination group were 97.4 %, which were higher than 82.1 % of the control group(P<0.05). The incidence of complications such as infection, embolism, hemorrhage and nerve damage in the combination group during treatment were 5.1 %, which were lower than 28.2 % in the control group(P<0.05). Conclusion: The clinical application of face and neck liposuction combined with fat transplantation in scar plastic surgery will not increase the pain of the patient, but can also reduce the depth of the scar base and reduce the occurrence of complications, and improve the beauty of the patient and the overall treatment effect.