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毛发移植手术中冷却微移植体的效果。

Effects of cooling micrografts in hair transplantation surgery.

作者信息

Raposio E, Cella A, Panarese P, Mantero S, Nordström R E, Santi P

机构信息

Department of Plastic and Reconstructive Surgery, National Institute for Cancer Research, University of Genova, Italy.

出版信息

Dermatol Surg. 1999 Sep;25(9):705-7. doi: 10.1046/j.1524-4725.1999.98287.x.

Abstract

BACKGROUND

When isolating hair grafts in hair transplantation procedures, it is generally recommended to preserve the grafts at a low temperature (1 degrees C- 4 degrees C) in order to enhance the survival rate of the grafted hairs. This study was carried out to test the real benefits provided by cold-storing hair grafts.

OBJECTIVE

The aim of this study was to evaluate, in an in vitro model, the effects of cooling micrografts during hair transplantation procedures to experimentally assess the soundness of this approach to enhance the survival and growth rates of hair micrografts.

METHODS

A total of 240 anagen hair follicles were obtained from 10 healthy male patients. Follicles were thus randomly assigned to one of the following groups: group A (control; n = 120 follicles), or group B (experimental; n = 120 follicles). Follicles from group A were preserved for 5 hours at room temperature (26 degrees C), and follicles from group B were preserved for 5 hours at 1 degrees C. Immediately after that 5-hour period, follicles from both groups were then cultured for 10 days. The length of each follicle was measured immediately following the 5-hour test period and at the end of the 10-day culture period.

RESULTS

No statistically significant differences were found between the survival and growth rates of follicles from the control (survival rate = 87%, mean 10-day growth rate = 2.68 mm) and experimental (survival rate = 88%, mean 10-day growth rate = 2.54 mm) groups.

CONCLUSION

Although, at present, it is generally assumed that lowering the metabolism of grafts by reducing their temperature may be of some utility for enhancing their survival rate, our data indicate of that there are no effects when performing hair transplantation surgery.

摘要

背景

在毛发移植手术中分离毛囊单位时,通常建议在低温(1摄氏度至4摄氏度)下保存毛囊单位,以提高移植毛发的成活率。本研究旨在验证冷藏毛囊单位的实际益处。

目的

本研究的目的是在体外模型中评估毛发移植手术过程中冷却微小毛囊单位的效果,通过实验评估这种提高微小毛囊单位存活率和生长率方法的合理性。

方法

从10名健康男性患者身上获取了总共240个生长期毛囊。这些毛囊被随机分配到以下组之一:A组(对照组;n = 120个毛囊)或B组(实验组;n = 120个毛囊)。A组的毛囊在室温(26摄氏度)下保存5小时,B组的毛囊在1摄氏度下保存5小时。在这5小时的时间段结束后,两组的毛囊立即进行10天的培养。在5小时测试期结束时和10天培养期结束时,立即测量每个毛囊的长度。

结果

对照组(存活率 = 87%,平均10天生长率 = 2.68毫米)和实验组(存活率 = 88%,平均10天生长率 = 2.54毫米)毛囊的存活率和生长率之间未发现统计学上的显著差异。

结论

虽然目前普遍认为通过降低温度来降低毛囊单位的代谢可能对提高其存活率有一定作用,但我们的数据表明,在进行毛发移植手术时,这种方法并无效果。

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