自体富血小板血浆一脂肪颗粒填充面部凹陷的临床应用及Fuzzy评价

目的评价f]体富血小板血浆一脂肪颗粒填充面部凹陷的临床疗效。方法采用自体寓血小板血浆加自体脂肪颗粒，对35例面部凹陷患者进行填充修复。3～6个月后，用Fuzzy评判法（模糊评判法）对面部凹陷部丰满度、注射次数、手术满意度进行评价。结果术后患者面部获得了一个相对对称且自然的外观，填充修复效果稳定，未见明显脂肪吸收。医患双方均对手术效果满意。综合评判结果表明有效这一隶属度最高。结论自体富血小板血浆应用于面部脂肪移植，有助于脂肪仃活和减少脂肪吸收，填充矫治面部软组织缺损畸形效果确切可靠。

Clinical application and Fuzzy evaluation of autologous platelet-rich plasma mixed with fat graft in facialtissue depression

Objective To evaluate the clinical effect of the facial soft tissue defect treated with platelet-rich plasma （PRP） mixed with purified fat. Methods 35 patients with facial soft tissue de- fects were treated by PRP mixed with centrifuged fat tissue. Using Fuzzy judgment method the clinical effectiveness of therapeutic outcomes were evaluated on fullness, injection of frequency and satisfaction during 3 to 6 months of follow-up. Results The therapeutic outcomes showed that the reconstructed face became a relative symmetrical and natural appearance with not evidently fat resorption and stable after operation, Both patients and surgeons were satisfied with the results. The score of effectiveness was highest in Fuzzy judgment. Conclusions The efficacy of PRP is significant in enhancing fat graft, reducing fat necrosis and resorption. The fat tissue mixed with PRP is a reliable reconstruction option for the facial soft tissue defect.