摘要
目的探讨毛发移植术和头皮组织扩张术修复大面积瘢痕性秃发的效果及适用范围。方法分析自2004年8月至2017年3月,分别采用毛发移植术(169例)和头皮组织扩张术(118例)治疗大面积瘢痕性秃发患者的临床资料。结果 169例行毛发移植的患者毛发生长自然、良好,术后11例出现毛囊炎,经75%乙醇涂擦后自愈;其中115例自觉毛发较为稀疏,71例行2次加密种植,23例行第3次加密种植。118例行头皮组织扩张术的患者术后扩张头皮瓣全部成活;21例对毛发生长方向不满意;6例毛发密度与周围毛发不一致;3例出现血肿,处理后未影响最终治疗效果。结论头皮组织扩张术是大面积头皮瘢痕最佳的治疗选择;对于年龄较大,或由于其他原因不适合使用扩张皮瓣修复的患者,宜采用毛发移植术进行修复。
Objective To explore the efficacy and scope of hair transplantation and scalp tissue expansion in the repair of extensive cicatricial alopecia.Methods Between August 2004 and March 2017,the clinical data of patients suffering from extensive cicatricial alopecia who underwent hair transplantation （n=169） and scalp tissue expansion （n=118） were retrospectively analyzed.Results One hundred and sixty-nine patients who underwent hair transplantation achieved natural and good hair growth.Folliculitis was found in 11 patients and cured after 75% alcohol inunction.Among them,115 patients felt the hair was sparse.Seventy-one patients experienced a second transplantation to increase hair density,and 23 patients underwent a third transplantation.One hundred and eighteen patients underwent scalp tissue expansion.All flaps survived.Twenty-one patients were dissatisfied with the direction of hair growth,and the hair density was not consistent with peripheral hair in 6 patients.Hematoma was found in 3 patients,but did not impact the final treatment effect after the hematoma was addressed.Conclusion Scalp tissueexpansion was an optimal choice for extensive cicatricial alopecia.For older patients and cases who cannot tolerate expanded flap,hair transplantation should be adopted to repair the alopecia.
出处
《中国美容整形外科杂志》
CAS
2017年第9期525-528,共4页
Chinese Journal of Aesthetic and Plastic Surgery
关键词
秃发
毛发移植
外科皮瓣
组织扩张术
瘢痕
Alopecia
Hair transplantation
Surgical flap
Tissue expansion
Scar
