【摘要】： 目的：雄源性禿發(fā)、瘢痕性禿發(fā)等均引起毛囊的部分或全部萎縮、壞死導(dǎo)致永久性毛發(fā)脫落,是一種不可逆性禿發(fā),不僅影響患者的外觀,對其心理也產(chǎn)生不同程度的陰影。傳統(tǒng)的毛發(fā)外科經(jīng)歷了頭皮縮減術(shù)、皮瓣外科、頭皮自體移植3個階段。但傳統(tǒng)的方法修復(fù)方法大多數(shù)容易產(chǎn)生成活率低、疤痕明顯、外觀不自然等缺陷,我院自2003年9月以來,我們采用單體毛囊自體毛發(fā)移植術(shù)(FUT)治療永久性禿發(fā)61例,觀察其效果。 方法：回顧性分析我院整形外科自2003年9月到2008年3月,采用自體毛發(fā)單體毛囊移植術(shù)(FUT)治療61例永久性毛發(fā)缺失患者的資料,先在顱后部優(yōu)勢供區(qū)內(nèi)切取含有完整毛發(fā)的頭皮組織,將其分割成含單體毛囊的移植物,然后將移植物植入頭皮缺失區(qū)內(nèi)預(yù)制的孔洞中。術(shù)后隨訪滿6個月到1年后,進行療效評定,并隨機選10例患者復(fù)查毛發(fā)成活狀況。 結(jié)果：大部分患者術(shù)后移植的毛發(fā)均生長良好,61例患者術(shù)后隨訪6個月至1年,毛發(fā)成活率均達到90%以上,修復(fù)后的毛發(fā)外觀接近自然毛發(fā)分布特點,患者滿意度達到90%,供區(qū)瘢痕不明顯。 結(jié)論：自體毛發(fā)單體毛囊移植術(shù)(FUT)在永久性脫發(fā)的治療中種植的毛囊單位存活率高,修復(fù)后毛發(fā)外觀自然,供區(qū)瘢痕不明顯,是治療雄源性及瘢痕性永久性禿發(fā)的有效手段。
[Abstract]:Aim: male alopecia and cicatricial alopecia all cause partial or total atrophy of hair follicles, necrosis leads to permanent hair shedding, which is irreversible alopecia, which not only affects the appearance of patients, but also has different degree of shadow on their psychology. Traditional hair surgery has undergone three stages: scalp reduction, flap surgery and scalp autotransplantation. However, most of the traditional methods are easy to produce defects such as low survival rate, obvious scar, unnatural appearance and so on. Since September 2003, 61 cases of permanent alopecia have been treated with single hair follicle autotransplantation (FUT). Observe its effect. Methods: from September 2003 to March 2008, 61 patients with permanent hair loss were treated with autologous hair follicle transplantation (FUT). First, the scalp tissue containing complete hair was removed from the superior donor region of the posterior skull and divided into grafts containing monomeric hair follicles. Then the grafts were implanted into prefabricated holes in the missing areas of the scalp. After 6 months to 1 year follow-up, the curative effect was evaluated, and 10 patients were randomly selected to review the survival status of hair. Results: most of the patients had good hair growth after transplantation. After 6 months to 1 year follow-up in 61 patients, the survival rate of hair reached more than 90%, and the hair appearance after repair was close to the distribution of natural hair. The satisfaction rate of patients reached 90%, and the scar in donor area was not obvious. Conclusion: the survival rate of hair follicles implanted by (FUT) in permanent alopecia is high, the hair appearance is natural after repair, and the scar in donor area is not obvious. It is an effective method to treat male and cicatricial permanent alopecia.
【學(xué)位授予單位】：福建醫(yī)科大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2010
【分類號】：R758.71

【參考文獻】

相關(guān)期刊論文 前10條

1 席建元,yす，

本文編號：2445439