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高密度毛发移植治疗瘢痕性秃发

Dense-packing hair grafting technique for restoration of cicatricial alopecia

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【作者】 王继萍范金财

【Author】 WANG Jiping, FAN Jincai. Hair Transplantation Center, Plastic Surgery Hospital of CAMS, Beijing 100041, China\;

【机构】 中国医学科学院中国协和医科大学整形外科医院毛发移植中心中国医学科学院中国协和医科大学整形外科医院毛发移植中心 100041北京100041北京

【摘要】 目的 探索高密度毛发移植治疗因各种因素所引起的瘢痕性秃发的新技术。方法 于头颅的后、侧部优势供区内 ,切取含有完整毛发的条形头皮组织。分割成微小毛发移植物 (含 4~6根毛发 )和显微毛发移植物 (含 1~ 3根毛发 )。然后 ,植入头皮瘢痕脱发区内预制的相应孔洞中。结果  1998年 4月~ 2 0 0 0年 2月 ,将此项技术 ,应用于 96例 12 8个瘢痕性秃发区。 32例仅需一期手术 ;6 4例需行二期手术完成治疗。术后 12个月以上的远期随访 ,移植的毛发生长自然、良好 ,成活率 90 %~ 95 %。结论 高密度毛发移植技术手术创伤小 ,恢复快 ,毛发生长自然、密集 ,即便在瘢痕区域的受床上移植的毛发常常也能良好地生长 ,是治疗瘢痕性秃发的又一理想手段

【Abstract】 Objective\ To investigate the possibility of using dense packing hair grafting technique for restoration of cicatricial alopecia. Methods\ Under local anesthesia, a scalp strip was harvested from the back of the head. A series of micro grafts with 1~3 hairs and mini grafts with 4~6 hairs were created from this strip. In the scarring recipient area, micro slots were made with a 18 G needle for the micro grafts and mini slits were made with a No.64 mini blade for the mini grafts. The grafts were then implanted into these holes. Results\ Ninety six patients with 128 bald scarring areas, resulted from burn, trauma or infection, were treated with the above mentioned technique from April. 1998 to February. 2000. All of the patients were satisfied with the appearance. In the micro graft area, the graft density reached 10~15 mini grafts / cm 2 per session. In the micro graft area, the graft density reached 16~19 micro grafts / cm 2 per session. Postoperative following up for more than 1 year showed that the grafted hairs were growing well with 90%~95% survival of the hair. One third of the patients obtained satisfactory results with only one session. Two thirds of the patients needed the second session to improve the appearance. Conclusions\ The dense packing hair grafting technique is a simple, safe and effective method for hair restoration surgery. It is not only used for male pattern baldness, but could also be applied for restoration of cicatricial alopecia. \;

  • 【文献出处】 中华整形外科杂志 ,Chinese Journal of Plastic Surgery and Burns , 编辑部邮箱 ,2002年04期
  • 【分类号】R758.710.5;R622.9
  • 【被引频次】36
  • 【下载频次】238
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