白癜风手术中的组织移植——过去、现在与未来。
Tissue grafts in vitiligo surgery - past, present, and future.
作者信息
Khunger Niti, Kathuria Sushruta Dash, Ramesh V
机构信息
Department of Dermatology and STD, V.M. Medical College and Safdarjang Hospital, New Delhi, India.
出版信息
Indian J Dermatol. 2009;54(2):150-8. doi: 10.4103/0019-5154.53196.
Abstract
Vitiligo, characterized by depigmented macules is a common disorder with a high psychosocial impact, particularly in darker skins. Surgical methods become important in cases where medical therapy fails to cause repigmentation or in cases of segmental vitiligo where the response to surgery is excellent. The basic principle of surgical treatment is autologous grafting of viable melanocytes from pigmented donor skin to recipient vitiliginous areas. Various grafting methods have been described including tissue grafts and cellular grafts. Stability of the disease is the most important criterion to obtain a successful outcome. Counseling of the patient regarding the outcome is vital before surgery. The technique and followup management of the tissue grafts has been described in detail in this review.
摘要
白癜风以色素脱失斑为特征，是一种常见疾病，对心理社会有很大影响，在肤色较深的人群中尤为如此。当药物治疗未能导致色素再生，或在节段性白癜风中手术效果极佳的情况下，手术方法就变得很重要。手术治疗的基本原则是将有活力的黑素细胞从有色素的供皮自体移植到白癜风受区。已经描述了各种移植方法，包括组织移植和细胞移植。疾病的稳定性是获得成功结果的最重要标准。术前对患者进行关于预后的咨询至关重要。本文详细描述了组织移植的技术和随访管理。
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