CAJ | 학술논문

目的评价自体富血小板血浆-脂肪颗粒填充面部凹陷的临床疗效.方法采用自体富血小板血浆加自体脂肪颗粒,对35例面部凹陷患者进行填充修复.3～6个月后,用Fuzzy评判法(模糊评判法)对面部凹陷部丰满度、注射次数、手术满意度进行评价.结果术后患者面部获得了一个相对对称且自然的外观,填充修复效果稳定,未见明显脂肪吸收.医患双方均对手术效果满意.综合评判结果表明有效这一隶属度最高.结论自体富血小板血浆应用于面部脂肪移植,有助于脂肪存活和减少脂肪吸收,填充矫治面部软组织缺损畸形效果确切可靠.
목적 평개자체부혈소판혈장-지방과립전충면부요함적림상료효.방법 채용자체부혈소판혈장가자체지방과립,대35례면부요함환자진행전충수복.3～6개월후,용Fuzzy평판법(모호평판법)대면부요함부봉만도、주사차수、수술만의도진행평개.결과 술후환자면부획득료일개상대대칭차자연적외관,전충수복효과은정,미견명현지방흡수.의환쌍방균대수술효과만의.종합평판결과표명유효저일대속도최고.결론 자체부혈소판혈장응용우면부지방이식,유조우지방존활화감소지방흡수,전충교치면부연조직결손기형효과학절가고.
Objective To evaluate the clinical effect of the facial soft tissue defect treated with platelet-rich plasma (PRP) mixed with purified fat.Methods 35 patients with facial soft-tissue defects were treated by PRP mixed with centrifuged fat tissue.Using Fuzzy judgment method the clinical effectiveness of therapeutic outcomes were evaluated on fullness,injection of frequency and satisfaction during 3 to 6 months of follow-up.Results The therapeutic outcomes showed that the reconstructed face became a relative symmetrical and natural appearance with not evidently fat resorption and stable after operation.Both patients and surgeons were satisfied with the results.The score of effectiveness was highest in Fuzzy judgment.Conclusions The efficacy of PRP is significant in enhancing fat graft,reducing fat necrosis and resorption.The fat tissue mixed with PRP is a reliable reconstruction option for the facial soft tissue defect.