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富含基质血管成分的富血小板血浆疗法可逆转雄激素性脱发的影响。

Stromal vascular fraction-enriched platelet-rich plasma therapy reverses the effects of androgenetic alopecia.

机构信息

Department of Dermatology, King Edward Medical University/Mayo Hospital, Lahore, Pakistan.

Department of Biomedical Sciences, King Edward Medical University, Lahore, Pakistan.

出版信息

J Cosmet Dermatol. 2020 May;19(5):1078-1085. doi: 10.1111/jocd.13149. Epub 2019 Sep 21.

Abstract

BACKGROUND

Since antiquity, humans have been trying to devise remedies to cure androgenetic alopecia (AGA). These efforts include use of oral and topical concoctions and hair transplant strategies. As AGA affects people of all colors and creed, there has been a continuous effort to find a magic bullet against AGA. Unfortunately, to date, all the strategies to negate AGA effects have limitations and thus require new treatment options.

AIM

To evaluate the efficacy of use of stromal vascular fraction (SVF) in androgenetic alopecia patients.

METHODS

Stromal vascular fraction was obtained by enzymatic digestion of autologous adipose tissue. The patients were divided into two groups, that is, platelet-rich plasma (PRP) group and SVF-PRP group. In PRP group, only PRP was injected, while in SVF-PRP group a mixture of PRP and SVF was injected in affected scalp areas. After two sessions (4 weeks apart), the patients in both groups were assessed and analyzed using various parameters.

RESULTS

Mean hair density in PRP group was increased from 52.44 hair/cm to 63.72 hair/cm (21.51% increase); while in SVF-PRP group, it was 37.66 hair/cm before treatment and 57.11 hair/cm after SVF-PRP therapy (51.64% increase). Percentage reduction in pull test was more significant in SVF-PRP group (80.78 ± 5.84) as compared to PRP group (34.01 ± 22.44). The physician and patient assessment scores also indicated a significant improvement in SVF-PRP group.

CONCLUSION

A combined SVF-PRP therapy reversed effects of AGA more efficiently as compared to PRP therapy alone.

摘要

背景

自古以来,人类一直试图寻找治疗雄激素性脱发(AGA)的方法。这些努力包括使用口服和局部制剂以及毛发移植策略。由于 AGA 影响各种肤色和种族的人群,因此一直在不断努力寻找治疗 AGA 的特效药。不幸的是,迄今为止,所有消除 AGA 影响的策略都存在局限性,因此需要新的治疗选择。

目的

评估基质血管成分(SVF)在雄激素性脱发患者中的疗效。

方法

通过酶消化自体脂肪组织获得基质血管成分。患者分为两组,即富血小板血浆(PRP)组和 SVF-PRP 组。在 PRP 组中,仅注射 PRP,而在 SVF-PRP 组中,在受影响的头皮区域注射 PRP 和 SVF 的混合物。两次治疗(间隔 4 周)后,使用各种参数评估和分析两组患者。

结果

PRP 组的平均头发密度从 52.44 根/cm 增加到 63.72 根/cm(增加 21.51%);而在 SVF-PRP 组中,治疗前为 37.66 根/cm,SVF-PRP 治疗后为 57.11 根/cm(增加 51.64%)。SVF-PRP 组的牵拉试验百分比减少更显著(80.78±5.84),而 PRP 组为 34.01±22.44。医生和患者评估评分也表明 SVF-PRP 组有显著改善。

结论

与单独使用 PRP 治疗相比,SVF-PRP 联合治疗更有效地逆转 AGA 的影响。

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