哺乳后乳腺萎缩自体脂肪颗粒移植隆乳91例的临床应用体会

目的 总结分析哺乳后乳腺萎缩自体脂肪颗粒移植隆乳的经验与技巧.方法 自2000-01~2007-12,共收治91例哺乳后乳腺萎缩要求吸脂和隆乳的求美者,采用注射器抽吸腹、腰、臀和大腿等部位脂肪颗粒,经反复冲洗、纯化后注射移植于乳腺后间隙,每次单侧移植50～100 ml,间隔3～6个月,共2～6次.结果 接受手术的91例中,76例经6个月至3年随访,术后乳房大小和外形均明显改善,质地柔软,手感好,形态自然;由于术后形体曲线更美,患者自信心增强,焦虑、忧郁的心理缓解,提高了生活质量.9例14侧乳房内出现散在的小硬结,8例11侧乳房内出现散在的小钙化灶.结论自体脂肪颗粒注射移植治疗哺乳后乳腺萎缩效果满意,是一种切实可行的治疗方法,值得临床推广应用.

Experience on breast augmentation by transplantation of auto-fat granule for 91 cases of mastatrophy post suckling

Objective To summarize the experience and skills on breast augmentation by transplanting autofat granule in patients with mastatrophy post suckling. Methods Total of 91 patients who wanted both liposuetion and breast augmentation with mastatrophy post suckling were transplanted auto-fat granule by injection in our department from January 2000 to December 2007. The auto-fat granule was obtained by liposuction with syringe from patient＇ s abdomen, waist, buttocks and thighs, etc. After repeated wash and purification, the auto-fat granule was transplanted into the interspaee behind the breast by injection. The quantity of auto-fat granule injected was 50 - 100 ml in each side of breast per transplantation at 3 -6 months intervals, and the whole course of treatment needed 2 - 6 transplantations. Results Seventy-six of 91 cases were followed up from 6 months to 3 years post operation. All patients had a significant improvement in their breast size and shape postoperatively and their breasts were all soft and natural in appearance and feel. All of them have more perfeet areuation of physique and body with strengthened seff-confidence, relieved mood and improved quality of life. Small indurations were fotmd sporadically in 9 cases （ 14 breasts） , and calcifications in 8 cases （11 breasts）. Conclusion Both patients and surgeons were satisfied with the results. The transplantation by auto-fat granule injection for mastatrophy post suckling is an effective and practical method. The surgical technique is well worth performing in clinical practice.