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[头皮扩张与自体毛发移植治疗瘢痕性秃发]

[Treating cicatricial baldness with scalp expanding and hair autografting].

作者信息

Li A L, Yu M S, Yan Y Z

机构信息

Department of Plastic Surgery, First Affiliated Hospital of Hubei Medical University, Wuhan Hubei, P. R. China 430060.

出版信息

Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001 Mar;15(2):99-100.

PMID:11286172
Abstract

OBJECTIVE

To investigate the effective method to treat cicatricial baldness.

METHODS

From 1993 to 1998, 21 cases with multi-region or great-dimensional cicatricial baldness were treated with scalp expanding and hair autografting. Among them, there were 17 males and 4 females, aged from 14 to 49 years old. The operation was divided into two stages, stage one meaned to embed the expander under the scalp and stage two meaned to sow the autogenous hair.

RESULTS

All cases, no matter what the position and area, were repaired successfully. The biggest dimension of repaired baldness was 340 cm2, one expander exposed and one failed in expanding after operation and be corrected immediately. The normal hair direction changed in two cases.

CONCLUSION

Combined use of scalp expanding and hair autografting is an effective method to treat multi-region or great dimensional cicarticial baldness.

摘要

目的

探讨治疗瘢痕性秃发的有效方法。

方法

1993年至1998年,对21例多区域或大面积瘢痕性秃发患者采用头皮扩张术和自体毛发移植术进行治疗。其中男性17例,女性4例,年龄14至49岁。手术分两期进行,一期为在头皮下埋置扩张器,二期为自体毛发种植。

结果

所有病例无论秃发部位及面积大小均修复成功。修复秃发最大面积为340平方厘米,术后1例扩张器外露,1例扩张失败并立即纠正。2例毛发方向异常。

结论

头皮扩张术与自体毛发移植术联合应用是治疗多区域或大面积瘢痕性秃发的有效方法。

相似文献

1
[Treating cicatricial baldness with scalp expanding and hair autografting].[头皮扩张与自体毛发移植治疗瘢痕性秃发]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2001 Mar;15(2):99-100.
2
[The clinical application of scalp expansion in the repair of cicatricial baldness in children].[头皮扩张术在儿童瘢痕性秃发修复中的临床应用]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 1999 Jan;13(1):28-30.
3
[Plastic surgical management of large cicatricial scalp alopecia].[大面积瘢痕性头皮脱发的整形外科治疗]
Zhonghua Yi Xue Za Zhi. 2009 Apr 28;89(16):1098-101.
4
[Repair of large cicatricial alopecia with skin soft-tissue expansion].[皮肤软组织扩张修复大面积瘢痕性秃发]
Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2005 Aug;19(8):626-8.
5
Staged hair transplantation in cicatricial alopecia after carbon dioxide laser-assisted scar tissue remodeling.二氧化碳激光辅助瘢痕组织重塑后瘢痕性秃发的分期毛发移植
Arch Dermatol. 2007 Apr;143(4):457-60. doi: 10.1001/archderm.143.4.457.
6
[Treatment of cicatricial alopecia by the method of tissue expansion].[组织扩张法治疗瘢痕性秃发]
Khirurgiia (Mosk). 1990 Sep(9):81-5.
7
[Scalp expansion in the treatment of cicatricial alopecia].[头皮扩张术治疗瘢痕性秃发]
Zhonghua Zheng Xing Shao Shang Wai Ke Za Zhi. 1990 Mar;6(1):22-3, 74-5.
8
Surgical treatment of cicatricial alopecia of the scalp.头皮瘢痕性脱发的外科治疗
Clin Plast Surg. 1982 Apr;9(2):179-96.
9
[Use of tissue expanders on the scalp].[头皮组织扩张器的应用]
Rev Hosp Clin Fac Med Sao Paulo. 1991 May-Jun;46(3):112-5.
10
Tissue expansion in cicatricial alopecia.瘢痕性秃发中的组织扩张
Arch Dermatol. 1987 May;123(5):641-6.

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The spectrum of histopathological lesions in scarring alopecia: a prospective study.瘢痕性脱发的组织病理学病变谱:一项前瞻性研究。
J Clin Diagn Res. 2013 Jul;7(7):1372-6. doi: 10.7860/JCDR/2013/5138.3131. Epub 2013 Jul 1.