CAJ | 학술논문

目的：探索提高自体脂肪移植隆胸术中移植脂肪的成活率及减少术后并发症的方法。方法：选择2007年5月—2014年5月行自体脂肪移植隆胸术的423例患者，以不同部位肿胀法提取脂肪颗粒，并采用 lipokit 自体脂肪移植机加以纯化，以扇形多层次线性注射。结果：423例患者中，出现脂肪液化1例，脂肪团块5例，微小钙化1例，其余均取得良好效果。自体脂肪移植平均成活率达50％。结论：通过严格控制脂肪颗粒的提取、分离和纯化，并采用分层、多面、多点注射，可提高自身脂肪移植的成活率，减少并发症的发生。
목적：탐색제고자체지방이식륭흉술중이식지방적성활솔급감소술후병발증적방법。방법：선택2007년5월—2014년5월행자체지방이식륭흉술적423례환자，이불동부위종창법제취지방과립，병채용 lipokit 자체지방이식궤가이순화，이선형다층차선성주사。결과：423례환자중，출현지방액화1례，지방단괴5례，미소개화1례，기여균취득량호효과。자체지방이식평균성활솔체50％。결론：통과엄격공제지방과립적제취、분리화순화，병채용분층、다면、다점주사，가제고자신지방이식적성활솔，감소병발증적발생。
Objective:To explore the methods to improve the survival rate of autologous fat transplantation in breast augmenta-tion and reduce postoperative complications.Methods:From May 2007 to May 2014,423 patients who underwent autologous fat transplantation in breast augmentation were selected .The fat extracted from different parts of body by swelling method,was purified by lipokit fat separation and centrifugation system,and then injected into breast by fan-shaped multilevel linear injec-tion.Results:Among the 423 patients who underwent autologous fat transplantation in breast augmentation,there was one case of fat liquefaction,five cases of fat mass,and one case of microcalcifications.The other patients had good results.The av-erage survival rate of autologous fat transplantation in breast augmentation was about 50 %.Conclusion:By strictly controlling the extraction,separation and purification of the fat,and applying layered,multipoint and multidemensional injection,the sur-vival rate of the autologous fat transplantation can be improved and the rate of postoperative complications can be reduced.