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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.

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。

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