小颗粒脂肪注射治疗面部凹陷性瘢痕

目的:探讨小颗粒脂肪注射治疗面部凹陷性瘢痕的临床效果。方法:以2016年1月-2019年1月笔者医院收治的50例面部凹陷性瘢痕患者为研究对象,采用小颗粒脂肪进行注射治疗,1次/3个月,均连续治疗2次。治疗后随访6个月评价临床效果及术后并发症,比较治疗前后的温哥华瘢痕评估量表(Vancouver scar scale,VSS)评分。结果:50例患者中,无1例出现术后感染,显效24例、好转22例、无效4例,分别不同程度纠正了面部轮廓畸形,局部皮肤变软,弹性及色泽改善,总有效率为92.0%;治疗后的VSS评分为(7.1±1.8)分明显低于治疗前(13.7±2.5)分,差异有统计学意义(P<0.05)。结论:小颗粒脂肪注射治疗面部凹陷性瘢痕的效果显著,安全性高,可有效改善瘢痕的色泽和质地,缓解症状。

The Clinical Effect of Microfat Injection on Facial Sunken Scar

Objective To investigate the clinical effect of microfat injection on facial sunken scar.Methods 50 patients with facial sunken scar who was selected as the research objects in our hospital from January 2016 to January 2019.All the patients were treated by microfat injection,1 time/3 months,two times continuously.The clinical effect and postoperative complications were evaluated followed up for 6 months after treatment.The vancouver scar scale (VSS) score was compared before and after treatment.Results Among the 50 patients,24 patients were effective,22 patients were improved,4 patients were invalid,and the total effective rate was 92.0%.The score of VSS after treatment was (7.1±1.8) points which was significantly lower than that before treatment(13.7±2.5) points,the difference was statistically significant(P<0.05).Conclusion Microfat injection had significant effect and high safety in treating facial sunken scar,which could effectively improve the color and texture of scar and alleviate symptoms.