面部除皱术结合自体脂肪移植在面部年轻化中的应用

目的 探讨面部除皱术+自体脂肪移植用于面部年轻化手术中的效果。方法 选取2021年3月-2023年 11月呼和浩特五洲医院收治的60例面部年轻化手术患者，随机分为A组和B组，每组30例。B组予以面部除皱 术，A组予以面部除皱术+自体脂肪移植，比较两组临床疗效、面部定量指标、生存质量评分（SF-36）、 并发症发生情况。结果 A组总有效率为96.67%，高于B组的80.00%（P ＜0.05）；A组术后7 d双侧颧点间 距、ABC弧度、瞳孔点至鼻唇沟及瞳孔垂线交点距离均优于B组（P ＜0.05）；A组术后7 d 身体健康、 精神健康、生理职能、社会职能评分均高于B组（P ＜0.05）；A组并发症发生率为3.33%，低于B组的 20.00%（P ＜0.05）。结论 面部年轻化手术患者接受面部除皱术+自体脂肪移植的效果确切，可优化面部 定量指标，提升患者生存质量，降低整形术相关并发症发生几率。

Application of Facial Rhytidectomy Combined with Autologous Fat Transplantation in Facial Rejuvenation

Objective To investigate the effect of facial rhytidectomy+autologous fat transplantation in facial rejuvenation surgery. Methods A total of 60 patients with facial rejuvenation surgery admitted to Wuzhou Hospital of Hohhot from March 2021 to November 2023 were selected and randomly divided into group A and group B, with 30 patients in each group. Group B was treated with facial rhytidectomy, and group A was treated with facial rhytidectomy+autologous fat transplantation. The clinical efficacy, facial quantitative index, quality of life score (SF-36) and complications were compared between the two groups. Results The total effective rate of group A was 96.67%, which was higher than 80.00% of group B (P <0.05). The distance between bilateral zygomatic points, ABC radian and the distance from pupil point to nasolabial groove and pupil vertical line in group A were better than those in group B at 7 days after operation (P <0.05). The scores of physical health, mental health, physiological function and social function in group A were higher than those in group B at 7 days after operation (P <0.05). The incidence of complications in group A was 3.33%, which was lower than 20.00% in group B (P <0.05). Conclusion Facial rhytidectomy+autologous fat transplantation is effective in patients undergoing facial rejuvenation surgery, which can optimize facial quantitative indicators, improve the quality of life of patients, and reduce the incidence of plastic surgery-related complications.