摘要目的 探讨小针刀辅助自体脂肪颗粒注射治疗萎缩性瘢痕的临床效果.方法 2014年3月至2016年12月,浙江大学医学院附属杭州市第一人民医院对12例萎缩性瘢痕患者,采用小针刀在瘢痕真皮下进行松解,然后用自体脂肪颗粒注射填充.采用患者观察瘢痕量表评估手术效果.结果 12例随访3～12个月,3个月后脂肪移植效果基本稳定.10例对1次脂肪移植效果满意,12例术后较术前脂肪容积、皮肤弹性、瘢痕疼痛、外形及功能有明显改善.术后无感染、血肿、感觉障碍、局部硬块等并发症.结论 采用小针刀松解辅助自体脂肪移植治疗瘢痕具有操作方便、安全长效等特点,可显著改善萎缩性瘢痕外观.

abstractsObjective To explore the clinical effect of using small needle knife in autologous fat grafting for the treatment of atrophic scar.Methods Twelve patients with atrophic scar were included in this study during March 2014 and December 2016 in the Hangzhou First People's Hospital,Zhejiang University School of Medicine.We used small needle knife during fat grafting to treat the atrophic scar.Observer Scar Assessment Scale (POSAS) was used to assess the clinical effect of the patients.Results Aesthetic and functional improvements were observed.Resolution of pain and increases in scar elasticity were objectively assessable.Improvement of both clinical evaluation and patient perception was obtained.Conclusions Use of small needle knife during fat grafting is a good alternative for the treatment of atrophic scars.