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毛发移植在瘢痕性秃发中的作用——做还是不做

Role of Hair Transplantation in Scarring Alopecia-To Do or Not to Do.

作者信息

Singh Sukhbir, Muthuvel Kumaresan

机构信息

Department of Plastic Surgery, Resplendent the Cosmetic Studio, New Delhi, India.

Department of Dermatology, Cutis Skin Clinic and Hair Transplant Centre, Coimbatore, Tamil Nadu, India.

出版信息

Indian J Plast Surg. 2021 Dec 27;54(4):501-506. doi: 10.1055/s-0041-1739246. eCollection 2021 Oct.

DOI:10.1055/s-0041-1739246
PMID:34984092
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8719951/
Abstract

Alopecia in the scalp region leads to psychosocial embarrassment for an individual. Alopecia could be due to several reasons, including genetic, hormonal, traumatic and infections. Cicatricial alopecias (CAs) are considered as trichological emergency, since their progression is rapid and always results in permanent hair loss. The pathogenesis, disease progression and prognosis of CA are poorly understood, and the treatment process is still evolving. An early diagnosis must be established, and aggressive treatment protocol should be followed in the management of scarring alopecia. This article presents various aspects of CA and determines whether hair transplant (HT) should be done in this condition.

摘要

头皮区域的脱发会给个人带来心理社会层面的尴尬。脱发可能由多种原因引起,包括遗传、激素、创伤和感染。瘢痕性脱发(CAs)被视为毛发学急症,因为其进展迅速且总会导致永久性脱发。人们对瘢痕性脱发的发病机制、疾病进展和预后了解甚少,治疗方法仍在不断发展。必须进行早期诊断,在瘢痕性脱发的治疗中应遵循积极的治疗方案。本文介绍了瘢痕性脱发的各个方面,并确定了在这种情况下是否应进行毛发移植(HT)。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/0e15a817954a/10-1055-s-0041-1739246-i20100798-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/3d2369cc2c1a/10-1055-s-0041-1739246-i20100798-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/5d009743b48d/10-1055-s-0041-1739246-i20100798-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/0e15a817954a/10-1055-s-0041-1739246-i20100798-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/3d2369cc2c1a/10-1055-s-0041-1739246-i20100798-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/5d009743b48d/10-1055-s-0041-1739246-i20100798-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/72ce/8719951/0e15a817954a/10-1055-s-0041-1739246-i20100798-3.jpg

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引用本文的文献

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Bitemporal alopecia: A unique pattern variant of alopecia.双颞部脱发:一种独特的脱发模式变异型。
JAAD Case Rep. 2023 Jun 6;38:41-43. doi: 10.1016/j.jdcr.2023.05.033. eCollection 2023 Aug.

本文引用的文献

1
The assessment of Hair Transplantation Outcomes in Cicatricial Alopecia.瘢痕性脱发的毛发移植效果评估
Int J Trichology. 2020 Jul-Aug;12(4):164-167. doi: 10.4103/ijt.ijt_52_19. Epub 2020 Sep 19.
2
Hair Transplantation for Scarring Alopecia.毛发移植治疗瘢痕性脱发。
Facial Plast Surg Clin North Am. 2020 May;28(2):177-179. doi: 10.1016/j.fsc.2020.01.001.
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A Systematic Review of the Outcome of Hair Transplantation in Primary Scarring Alopecia.原发性瘢痕性脱发毛发移植结局的系统评价
Skin Appendage Disord. 2019 Feb;5(2):65-71. doi: 10.1159/000492539. Epub 2018 Sep 5.
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Follicular unit transplantation for the treatment of secondary cicatricial alopecia.毛囊单位移植治疗继发性瘢痕性秃发。
Plast Surg (Oakv). 2014 Winter;22(4):249-53. doi: 10.4172/plastic-surgery.1000885.
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CMAJ. 2013 Dec 10;185(18):1579-85. doi: 10.1503/cmaj.111570. Epub 2013 May 21.
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Cicatricial (scarring) alopecias: an overview of pathogenesis, classification, diagnosis, and treatment.瘢痕性(瘢痕性)脱发:发病机制、分类、诊断和治疗概述。
Am J Clin Dermatol. 2012 Aug 1;13(4):247-60. doi: 10.2165/11596960-000000000-00000.
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Primary cicatricial alopecias: a U.K. survey.原发性瘢痕性脱发:一项英国调查。
Br J Dermatol. 2012 Sep;167(3):694-7. doi: 10.1111/j.1365-2133.2012.10945.x. Epub 2012 Jun 11.
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Primary cicatricial alopecia: recent advances in understanding and management.原发性瘢痕性脱发:理解和治疗的新进展。
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9
A review of surgical methods (excluding hair transplantation) and their role in hair loss management today.当今外科手术方法(不包括毛发移植)及其在脱发治疗中的作用综述。
J Cutan Aesthet Surg. 2011 May;4(2):89-97. doi: 10.4103/0974-2077.85020.
10
Hair transplantation in patients with inadequate head donor supply using nonhead hair: report of 3 cases.使用非头部毛发对供体不足的患者进行毛发移植:3例报告
Ann Plast Surg. 2011 Oct;67(4):332-5. doi: 10.1097/SAP.0b013e318209a61a.