摘要目的 探讨自体脂肪颗粒移植隆乳术的方法和临床效果.方法 采用注射器于脂肪堆积部位抽吸自体脂肪颗粒,经反复冲洗后移植于乳腺后间隙,每次单侧移植50～100 ml,间隔3～6个月,共2～6次.结果 接受注射自体脂肪颗粒移植的107例中,91例末次移植后经6个月至3年随访,均表现乳房丰满,形态完美,效果满意;其中13例21侧乳房首次注射后2～9个月内出现散在的小硬结,8例11侧乳房首次注射后8～17个月内出现散在的小钙化灶.结论 自体脂肪颗粒移植隆乳术效果基本满意,是一种切实可行的隆乳方法,但其术后效果受多因素影响,少数病例术后出现并发症,需继续临床观察.

abstractsObjective To investigate the method and clinical effect for transplanting auto-fat granules to augment breast. Methods The autologous fat granules were obtained by liposuetion using syringe from the sites with cumulate fat. After repeated wash and purification, they were transplanted into the interspace behind the breast by injection. The quantity of auto-fat granules injected was 50 - 100 ml in each side of breast per transplantation at 3 - 6 months intervals, and the whole course of treatment needed 2 -6 transplantations. Results 91 of 107 cases were followed up from 6 months to 3 years after final transplantation. All of them were satisfied with the postoperative effect, showing per-fect and plump appearance of the breasts. However, small indurations were found sporadically in 13 cases (21 breasts) within 2 -9 months, and calcifications in 8 cases (11 breasts) within 8 - 17 months after the first transplantation. Conclusion Both patients and surgeons are almost satisfied with the re-sults. The transplantation of autologous fat granules for breast augmentation is an effective and practi-cal method but the postoperative effect is influenced by multiple factors. A few of cases present com-plications after transplantation, so more clinical observation should be taken.