CAJ | 학술논문

目的：探讨Brava辅助自体脂肪移植矫正乳房局部缺损的可行性。方法2010年1月至2010年10月，共39例乳房局部组织缺损、凹陷畸形患者接受Brava负压辅助自体脂肪移植治疗。在接受自体脂肪注射移植隆乳术前1个月，患者按照要求佩戴Brava，每天佩戴8 h，直至手术当日。自体脂肪抽取处理后，分层均匀注射至组织缺损部位，同时以16 G注射器针头松解黏连。结果术后随访1~12个月，未发现脂肪液化、结节、钙化等并发症。术后效果满意度调查，37例对手术效果非常满意（94.9%），1例对手术效果基本满意（2.6%），1例由于乳房畸形矫正不彻底而对手术效果不满意（2.6%）。结论对于乳腺肿瘤的局部切除后，以及PHAG取出以后形成的局部缺损凹陷，Brava辅助自体脂肪移植是理想的手术方法。
목적：탐토Brava보조자체지방이식교정유방국부결손적가행성。방법2010년1월지2010년10월，공39례유방국부조직결손、요함기형환자접수Brava부압보조자체지방이식치료。재접수자체지방주사이식륭유술전1개월，환자안조요구패대Brava，매천패대8 h，직지수술당일。자체지방추취처리후，분층균균주사지조직결손부위，동시이16 G주사기침두송해점련。결과술후수방1~12개월，미발현지방액화、결절、개화등병발증。술후효과만의도조사，37례대수술효과비상만의（94.9%），1례대수술효과기본만의（2.6%），1례유우유방기형교정불철저이대수술효과불만의（2.6%）。결론대우유선종류적국부절제후，이급PHAG취출이후형성적국부결손요함，Brava보조자체지방이식시이상적수술방법。
Objective To explore the feasibility of Brava assisted autologous fat transfer in breast augmentation. Methods From January 2010 to October 2010, 39 cases with breast partial defect or deformity were treated with Brava plus autologous fat transfer. From one month before autologous fat transfer till the day of surgery, patients were arranged to wear Brava as required for 8 hours everyday. Autologous fat were harvested and treated, then were injected into the part of tissue defect by layer. And a 16G syringe needle was used to release subcutaneous adhesion and cut down funicular fiber. Results All the patients were followed up for 1 to 12 months, no fat liquefaction, nodule and calcification were observed. According to the postoperative satisfaction survey, 37 cases were quite satisfied (94.9%), 1 case was satisfied (2.6%), and 1 case was not satisfied due to inadequate breast deformity correction (2.6%). Conclusion Brava assisted autologous fat transfer is an ideal method for the treatment of breast partial defect after local tumor resection and PHAG extraction.