【摘 要】
：
目的 观察联合应用瘢痕松解切除及自体脂肪移植来矫正凹陷性瘢痕的临床疗效.方法 选择2009年-2011年笔者单位收治的面部及四肢凹陷性瘢痕共17例,采用手术方式切除瘢痕,并充分松解皮下组织粘连,同时通过脂肪抽吸术收集自体脂肪颗粒,并将自体脂肪颗粒进行局部注射以填充矫正瘢痕凹陷.统计术后凹陷性瘢痕的矫正情况,并进行远期随访.结果 本组17例术后均愈合良好.5例于术后3-6个月时再次进行自体脂肪颗粒注
【出 处】
：
2014中华医学会整形外科分会第十三次全国学术交流会
论文部分内容阅读
目的 观察联合应用瘢痕松解切除及自体脂肪移植来矫正凹陷性瘢痕的临床疗效.方法 选择2009年-2011年笔者单位收治的面部及四肢凹陷性瘢痕共17例,采用手术方式切除瘢痕,并充分松解皮下组织粘连,同时通过脂肪抽吸术收集自体脂肪颗粒,并将自体脂肪颗粒进行局部注射以填充矫正瘢痕凹陷.统计术后凹陷性瘢痕的矫正情况,并进行远期随访.结果 本组17例术后均愈合良好.5例于术后3-6个月时再次进行自体脂肪颗粒注射填充,以进一步改善外观.术后随访7-26个月,4例患者术后遗留瘢痕稍宽,其余患者局部瘢痕均不明显,填充部位丰满,形态良好,触之柔软,患者自觉满意.结论联合应用瘢痕松解切除及自体脂肪移植可更好的矫正凹陷性瘢痕,术后填充部位丰满,形态良好,并减少了手术次数,组织损伤小,术后恢复快,遗留瘢痕不明显,值得临床推广.
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