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脂肪胶填充治疗外伤术后凹陷性瘢痕的美学效果观察

Aesthetic Effect of Stromal Vascular Fraction-assisted Fat Grafting for Depressed Scar Due to Traumatic Surgery
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摘要 目的:探讨脂肪胶填充治疗外伤术后凹陷性瘢痕的美学效果。方法:选取2021年5月-2023年5月笔者医院收治的124例因外伤手术导致的凹陷性瘢痕患者为研究对象,依据随机数字表法将所有患者随机分成对照组和观察组,各62例。对照组采用自体脂肪移植填充治疗,观察组采用脂肪胶填充治疗。比较两组临床疗效、治疗后瘢痕改善程度及并发症发生率。结果:观察组治疗有效率为91.94%,显著高于对照组的66.13(P<0.05);治疗1个月及3个月后,观察组温哥华瘢痕量表评分明显低于对照组(P<0.05);两组并发症发生率比较差异无统计学意义(P>0.05)。结论:脂肪胶填充治疗在改善外伤术后凹陷性瘢痕方面疗效显著,美学效果好,安全性高,值得临床推荐。 Objective To investigate the cosmetic effect of stromal vascular fraction-assisted fat grafting for depressed scar after traumatic surgery.Methods 124 patients with depressed scar due to traumatic surgery admitted to the author's hospital from May 2021 to May 2023 were enrolled.According to the principle of random number table,all patients were randomly divided into control group and observation group,62 cases in each group.Control group received autologous fat grafting,while observation group was given stromal vascular fraction-assisted fat grafting.The clinical eficacy,scar improvement after treatment and incidence of adverse reactions were compared between the two groups.Results Observation group reported a higher clinical efficacy rate compared to control group(91.94%vs.66.13%,P<0.05).Observation group scored lower on Vancouver scar scale after 1 month and 3 months of treatment compared with control group(P<0.05).No significant adverse reactions occurred in either group(P>0.05).Conclusion Fat glue flling is effective in improving depressed scar after trauma surgery,with good aesthetic effect and high safety,which is worthy of clinical recommendation.
作者 孙燕 黄咏梅 山凯萍 时秀颖 王峰 雷小葆 SUN Yan;HUANG Yongmei;SHAN Kaiping;SHI Xiuying;WANG Feng;LEI Xiaobao(Department of Dermatology,the First People's Hospital of Xining,Xining 810000,Qinghai,China)
出处 《中国美容医学》 2025年第6期32-35,共4页 Chinese Journal of Aesthetic Medicine
关键词 脂肪胶(SVF-gel) 脂肪移植 凹陷性瘢痕 美学效果 stromal vascular fraction gel(SVF-gel) fat grafting depressed scar aesthetic effect
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