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    张慕尘, 张化彬, 刘畅, 温敏敏, 魏韩笑, 张爱君. 三维数字扫描技术辅助自体脂肪移植矫正乳房不对称畸形的应用研究[J]. 徐州医科大学学报, 2021, 41(10): 759-763. DOI: 10.3969/j.issn.2096-3882.2021.10.010
    引用本文: 张慕尘, 张化彬, 刘畅, 温敏敏, 魏韩笑, 张爱君. 三维数字扫描技术辅助自体脂肪移植矫正乳房不对称畸形的应用研究[J]. 徐州医科大学学报, 2021, 41(10): 759-763. DOI: 10.3969/j.issn.2096-3882.2021.10.010
    shu
    Application research of 3D scanning technology assisting autologous fat transplantation to correct breast asymmetry deformity[J]. Journal of Xuzhou Medical University, 2021, 41(10): 759-763. DOI: 10.3969/j.issn.2096-3882.2021.10.010
    Citation: Application research of 3D scanning technology assisting autologous fat transplantation to correct breast asymmetry deformity[J]. Journal of Xuzhou Medical University, 2021, 41(10): 759-763. DOI: 10.3969/j.issn.2096-3882.2021.10.010
    shu

    三维数字扫描技术辅助自体脂肪移植矫正乳房不对称畸形的应用研究

    Application research of 3D scanning technology assisting autologous fat transplantation to correct breast asymmetry deformity

      摘要
    • 摘要: 目的 探讨三维数字扫描技术辅助自体脂肪移植矫正乳房不对称畸形的临床效果。方法 选取徐州医科大学附属医院2020年1月至9月收治的乳房不对称患者40例，采用随机数字表法分为两组，每组20例。对照组根据常规体检，术者经验确定填充脂肪体积，实验组根据三维数字扫描乳房体积测量结果确定填充脂肪体积。两者每次填充脂肪体积均为100-300ml，再次手术间隔半年。术后对所有患者随访，观察术后并发症发生情况（包括感染、脂肪液化坏死等）及再次手术情况。在末次手术后6个月对所有患者进行乳房三维数字扫描，分析术后双侧乳房体积差，进行满意度调查。结果 末次手术后6个月实验组双侧乳房体积差（7.9±2.1ml）小于对照组双侧乳房体积差（10.7±2.4ml），差异有统计学意义（P＜0.05）。实验组患者对医生满意度评分（70.5±5.0分）高于对照组患者对医生满意度评分（67.0±3.7分），实验组患者对修复后乳房的满意度评分（67.1±4.6分）高于对照组患者对修复后乳房的满意度评分（62.2±5.8分），差异均有统计学意义（P＜0.05）。实验组再次手术率【4例（20.0%）】低于对照组再次手术率【11例（55.0%）】，差异有统计学意义（P＜0.05）。对照组术后并发症发生率为【1例（5.0%）】，实验组患者术后并发症发生率为【0例（0.0%）】，差异无统计学意义（P＞0.05）。结论 三维数字扫描技术辅助自体脂肪移植矫正乳房不对称畸形，术后乳房外形改善良好，手术次数减少，患者满意度高，值得临床推广。

       

      Abstract: 3D scanning technology assisting autologous fat transplantation to correct breast asymmetry deformity. Methods 40 cases of breast asymmetry patients admitted to the Affiliated Hospital of Xuzhou Medical University from January to September 2020 were selected and divided into two groups by random number table method, with 20 patients in each group.In the control group, the volume of filling fat was determined according to the routine physical examination and the experience of the operator.In the experimental group, the volume of filling fat was determined according to the measurement results of breast volume using 3D scanning.In both cases, the volume of fat filling is 100-300ml each time, and the interval of reoperation is half a year.Postoperative follow-up of all patients, and observe the postoperative complications happening (including infection, fat liquefaction necrosis, etc.) and reoperation.6 months after the last operation, perform a 3D scanning for all patients, analysis the postoperative bilateral breast volume difference,and conduct a satisfaction survey. Results 6 months after the last surgery,Bilateral breast volume difference in the experimental group(7.9±2.1ml) was smaller than that in the control group(10.7±2.4ml),the difference was statistically significant (P < 0.05).The score of satisfaction with doctors in the experimental group(70.5±5.0 points) was higher than that in the control group (67.0±3.7 points),the score of satisfaction with repaired breasts in the experimental group(67.1±4.6 points) was higher than that in the control group (62.2±5.8 points),the differences were statistically significant (P＜0.05).The rate of reoperation in the experimental group 4 cases (20.0%) was lower than that in the control group 11 cases (55.0%), the difference was statistically significant (P<0.05). The postoperative complication rate in the control group was 1 case (5.0%), and the postoperative complication rate in the experimental group was 0 case (0.0%), the difference was not statistically significant (P>0.05). Conclusion The use of 3D scanning technology to assist autologous fat transplantation to correct breast asymmetry can improve the postoperative breast shape well, reduce the number of operations, and achieve high patient satisfaction, which is worthy of clinical promotion

       

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