Application of autologous fat particles combined with silicone gel prosthesis in augmentation mammoplasty

中国基层医药 Pub Date : 2020-03-15 DOI:10.3760/CMA.J.ISSN.1008-6706.2020.06.022

Y. Zeng, Qi Hong

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引用次数: 0

Abstract

目的分析自体脂肪颗粒联合硅凝胶假体在隆乳术中的应用效果。方法选择2015年3月至2018年3月在东阳市红十字会医院接受隆乳术治疗的哺乳后乳腺萎缩患者125例，按照随机数字表法分为观察组68例、对照组57例，对照组采取硅凝胶假体隆乳术，观察组采取自体脂肪颗粒联合硅凝胶假体隆乳术。比较两组术后并发症发生情况，术后6个月乳房美观程度以及患者手术前后生活质量改善情况。结果术前两组患者乳房美观程度比较差异无统计学意义(10.53%比13.24%，χ2＝0.216，P>0.05)；术后6个月，两组患者乳房美观程度均较术前显著提升(56.14%比10.53%、79.41%比13.24%，χ2＝26.684、59.883，均P 0.05)；术前两组患者心理状态、情感状态以及日常社交评分差异均无统计学意义[(65.24±6.33)分比(64.85±5.93)分，(62.12±7.84)分比(61.03±6.49)分，(65.92±9.24)分比(67.52±7.21)分，t＝0.355、0.851、1.087，均P>0.05]；术后6个月两组患者心理状态、情感状态以及日常社交评分均较术前显著升高[(65.24±6.33)分比(80.11±7.95)分，(62.12±7.84)分比(79.69±6.95)分，(65.92±9.24)分比(82.31±6.90)分，(65.92±9.24)分比(82.31±6.90)分，(64.85±5.93)分比(87.53±8.34)分，(61.03±6.49)分比(84.52±7.82)分，(67.52±7.21)分比(88.50±8.04)分，t＝11.047、12.661、10.730、18.276、19.061、16.020，均P<0.05]，且术后6个月观察组患者心理状态、情感状态以及日常社交评分显著高于对照组[(80.11±7.95)分比(87.53±8.34)分，(79.69±6.95)分比(84.52±7.82)分，(82.31±6.90)分比(88.50±8.04)，t＝5.061、3.617、4.570，均P<0.05]。结论自体脂肪颗粒联合硅凝胶假体隆乳术具有着较好的安全性，且更有助于患者乳房外观形态的改善以及生活质量的提高。

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自体脂肪颗粒联合硅胶假体在隆胸中的应用

Objective To analyze the effect of autologous fat particles combined with silicone gel prosthesis in augmentation mammoplasty. Methods 125 patients with breast atrophy after lactation who received breast augmentation surgery in Dongyang Red Cross Hospital from March 2015 to March 2018 were selected. According to the random number table, they were divided into the observation group of 68 cases and the control group of 57 cases. The control group received silicone gel prosthesis breast augmentation surgery, and the observation group received autologous fat particles combined with silicone gel prosthesis breast augmentation surgery. Compare the incidence of postoperative complications between the two groups, the degree of breast aesthetics at 6 months after surgery, and the improvement of patients' quality of life before and after surgery. There was no statistically significant difference in breast aesthetics between the two groups of patients before surgery (10.53% vs 13.24%, χ 2=0.216, P>0.05); Six months after surgery, both groups of patients showed a significant improvement in breast aesthetics compared to before surgery (56.14% vs 10.53%, 79.41% vs 13.24%), χ 2=26.684, 59.883, both P 0.05); There was no statistically significant difference in the psychological, emotional, and daily social scores between the two groups of patients before surgery [(65.24 ± 6.33) score to (64.85 ± 5.93) score, (62.12 ± 7.84) score to (61.03 ± 6.49) score, (65.92 ± 9.24) score to (67.52 ± 7.21) score, t=0.355, 0.851, 1.087, all P>0.05]; Six months after surgery, the psychological status of two groups of patients The emotional state and daily social scores were significantly higher than before surgery [(65.24 ± 6.33) points compared to (80.11 ± 7.95) points, (62.12 ± 7.84) points compared to (79.69 ± 6.95) points, (65.92 ± 9.24) points compared to (82.31 ± 6.90) points, (65.92 ± 9.24) points compared to (82.31 ± 6.90) points, (64.85 ± 5.93) points compared to (87.53 ± 8.34) points, (61.03 ± 6.49) points compared to (84.52 ± 7.82) points, (67.52 ± 7.21) points compared to (88.50 ± 8.01) points] 4) points, t=11.047, 12.661, 10.730, 18.276, 19.061, 16.020, all P<0.05], Moreover, the psychological state, emotional state, and daily social scores of the observation group patients were significantly higher than those of the control group at 6 months after surgery [(80.11 ± 7.95) vs (87.53 ± 8.34), (79.69 ± 6.95) vs (84.52 ± 7.82), (82.31 ± 6.90) vs (88.50 ± 8.04), t=5.061, 3.617, 4.570, all P<0.05]. Conclusion Breast augmentation with autologous fat particles combined with silicone gel prosthesis is safe, and more helpful to improve the appearance of breast and the quality of life of patients.

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来源期刊

中国基层医药

CiteScore

0.10

自引率

0.00%

发文量

32251

期刊介绍： Since its inception, the journal "Chinese Primary Medicine" has adhered to the development strategy of "based in China, serving the grassroots, and facing the world" as its publishing concept, reporting a large amount of the latest medical information at home and abroad, prospering the academic field of primary medicine, and is praised by readers as a medical encyclopedia that updates knowledge. It is a core journal in China's medical and health field, and its influence index (CI) ranks Q2 in China's academic journals in 2022. It was included in the American Chemical Abstracts in 2008, the World Health Organization Western Pacific Regional Medical Index (WPRIM) in 2009, and the Japan Science and Technology Agency Database (JST) and Scopus Database in 2018, and was included in the Wanfang Data-China Digital Journal Group and the China Academic Journal Comprehensive Evaluation Database.