CAJ | 학술논문

目的：探讨水动力辅助负压吸脂在自体脂肪移植隆乳中的效果，进一步寻找提高脂肪移植成活率的脂肪获取方法。方法自2012年9月至2014年8月，应用水动力辅助负压吸脂后行自体脂肪移植隆乳术，治疗先天性双侧小乳症患者21例。行水动力系统吸脂后，立刻将收集在密封系统中的自体脂肪颗粒，采用多层次、多遂道的方法移植于胸部受区。并与15例先天性双侧小乳症单纯负压吸脂隆乳患者的疗效相比较。结果所有患者治疗后，乳房体积均有增加，外观较好，质感佳。术后随访6个月，水动力组乳房体积增加更明显，差异有统计学意义( P <0.05)；第2次手术后，两组患者乳房体积增加更显著，水动力组增加明显，差异有统计学意义( P <0.05)。结论水动力辅助吸脂能明显提高自体脂肪移植成活率，提高自体脂肪移植隆乳的治疗效果，是目前较理想的脂肪获取方法。
목적：탐토수동력보조부압흡지재자체지방이식륭유중적효과，진일보심조제고지방이식성활솔적지방획취방법。방법자2012년9월지2014년8월，응용수동력보조부압흡지후행자체지방이식륭유술，치료선천성쌍측소유증환자21례。행수동력계통흡지후，립각장수집재밀봉계통중적자체지방과립，채용다층차、다수도적방법이식우흉부수구。병여15례선천성쌍측소유증단순부압흡지륭유환자적료효상비교。결과소유환자치료후，유방체적균유증가，외관교호，질감가。술후수방6개월，수동력조유방체적증가경명현，차이유통계학의의( P <0.05)；제2차수술후，량조환자유방체적증가경현저，수동력조증가명현，차이유통계학의의( P <0.05)。결론수동력보조흡지능명현제고자체지방이식성활솔，제고자체지방이식륭유적치료효과，시목전교이상적지방획취방법。
Objective To explore good results of breast augmentation with autologous fat grafting under water-assisted liposuction, further looking for the method of gaining fat to improve fat surviving rate. Metho ds From September 2012 to August 2014, 21 patients with bilateral congenital small breast diseases undergone the breast augmentation with autologous fat grafting under water-assisted liposuction. The autologous lipochon-dria from all patients were collected in a closed container and were implanted into breast at once by the multilay-er and multi-tunnel methods after water-assisted liposuction. Comparison of the operations between 21 cases treated by the method mentioned-above and 15 cases of congenital small breast diseases with simple negative pressure liposuction was performed. Results After 6 months following up, the volume of all breasts increased inordinately with the beautiful appearance and a good sense of touching. The result of second operation was bet-ter than the first one. Water-assisted liposuction group increased more obviously, the difference was statistically significant ( P <0. 05). Conclusion Water-assisted liposuction can obviously increase fat surviving rate, improve the result of breast augmentation with autologous fat grafting. It is an ideal method to obtain autologous fat.