Nordström R E
Scand J Plast Reconstr Surg Suppl. 1976;14:1-37.
In this study 8 patients with alopecia due to chronic discoid lupus erythematosus (CDLE), 10 patients with traumatic alopecia (TA), and 12 patients with male pattern baldness (MPB) were treated with the punch graft method (PGM). Stastistical evaluations of the results and factors influencing the results were careied out. The mean survival rate of hairs was 72% in CDLE, 97% in TA, and 104% in MPB. The mean number of hairs in a 4 mm graft before transplantation in 30 patients and 752 grafts was found to be 18.2. This is far more than the number reported in previous publications concerning PGM owing probably to the difficulties of counting several hairs simultaneously emerging from the same pilary canal when the hair is cut to a length of 1--2mm preoperatively. For this purpose the author has developed a special photographical magnifying system. The number of hairs surviving transplantation in MPB in a 4 mm graft was about 19 hairs per graft, which is superior to previous reports. This is possibly due to some modifications of the procedure made by the author. In a control series done with the same technique as that often seen in the literature, about 50% inferior results were obtained. These results were however similar to those reported in the literature. Consequently the modifications of the procedure have been successful. Only one article with a series of 12 patients with TA treated with PGM was found in the literature. The hair survival results of the author exeeded the reported results by about 100%. The size, hardness, and elevation of the scars of the donor holes were checked statistically after various treatments. It was found that the diameter of the scar is the same regardless of type of treatment but that a signifcantly greater risk of hard and elevated scars is taken if the bald grafts are put back in the donor holes. No complications were seen in this series. PGM is a safe method that gives good hair survival results on transplanted hairs in MPB and TA, but the results vary in CDLE. In spite of the good results with PGM the author emphasizes that, although the therory of the method is simple, both the preoperative judement and the performance with its practical difficulties and many cosmetic problems is complex and requires a lot of psychological insight, practice and experience before correct preoperative judgement and a maximally good cosmetic result can be achieved.
在本研究中，8例慢性盘状红斑狼疮（CDLE）所致脱发患者、10例创伤性脱发（TA）患者和12例男性型秃发（MPB）患者接受了打孔移植法（PGM）治疗。对结果及影响结果的因素进行了统计学评估。CDLE患者毛发的平均存活率为72%，TA患者为97%，MPB患者为104%。在30例患者和752个移植块中，移植前4mm移植块中的毛发平均数量为18.2根。这远远多于以往有关打孔移植法的出版物中报道的数量，这可能是由于术前将毛发剪至1 - 2mm长度时，难以同时计数从同一毛囊管中长出的几根毛发。为此，作者开发了一种特殊的摄影放大系统。MPB患者4mm移植块中移植后存活的毛发数量约为每个移植块19根，优于以往报道。这可能是由于作者对手术方法进行了一些改进。在采用与文献中常见技术相同的对照系列中，获得的结果约差50%。然而，这些结果与文献中报道的结果相似。因此，手术方法的改进是成功的。文献中仅发现一篇文章报道了12例TA患者接受打孔移植法治疗的情况。作者的毛发存活结果比报道的结果高出约100%。在各种治疗后，对供体孔瘢痕的大小、硬度和隆起情况进行了统计学检查。发现无论治疗类型如何，瘢痕直径相同，但如果将秃发移植块放回供体孔中，形成硬且隆起瘢痕的风险显著增加。本系列未观察到并发症。打孔移植法是一种安全的方法，在MPB和TA患者的移植毛发上能取得良好的毛发存活结果，但在CDLE患者中结果有所不同。尽管打孔移植法取得了良好效果，但作者强调，尽管该方法的理论简单，但术前判断以及手术操作，包括实际困难和许多美容问题都很复杂，在获得正确的术前判断和最佳美容效果之前，需要很多心理洞察力、实践和经验。
