细胞辅助的自体脂肪移植术治疗先天性乳房发育不良

目的：观察CAL技术治疗先天性乳房发育不良的临床效果。方法：肿胀麻醉下，5Oml注射器负压抽吸身体赘积部位的脂肪，生理盐水反复冲洗，静置后过滤除去液体和油状物，700rpm离心3min，弃上清。将其中半量的脂肪颗粒用来抽提富含ADSC的自体SVFs，并与剩余脂肪颗粒充分混合后，注射至乳房后间隙及皮下，每次单侧注射量100-150ml，间隔3-6个月。结果：采用CAL技术治疗先天性乳房发育不良36例，共72侧乳房。其中7例14侧填充1次，24例48侧填充2次，5例10侧填充3次，均达到理想效果。结论：细胞辅助的自体脂肪移植技术治疗先天性乳房发育不良受术者满意度好，效果理想有效，是一种值得推广的手术方法。

Cell-assisted lipotransfer(CAL) treating congenital breast dysplasia

Objective To study the effect of treatment of cell-assisted lipotransfer （CAL） for congenital breast dysplasia. Methods After tumescent anesthesia, the autologous subcutaneous fat granule was obtained by liposuction with 50ml syringe,the adipose portion was washed several times in normal saline and placed in an upright position to obtain clear separation of fluids and oil, centrifuged at 700 g for 3 min ,gave up the upper layer.Half of the fat granule was used for isolution of the autologous SVFs which was rich in ADSC,then mixed the SVFs with the other half fat granule.After gentle mixing,the mixture was injected into the accepted region such as subcutaneous fat layer and the retromammary space （except mammary gland）. The quantity of mixture was 100-150 ml in each side of breast per transplantation at 3-6 months intervals. Results Totle of thirty-six cases （72 breasts ）was underwent this operation,seven cases obtained satisfactory results with one operation,twenty-four cases（48 breasts） had two operations,and five cases（10 breasts） had three operations,obvious complications were not found. Conclusion The patients who suffer from congenital breast dvsplasia treated with cell-assisted lipotransfer are highly satisfied with this operation, cell-assisted lipotransfer hasbetter effect,so it derives to be recommended.