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[人工毛发植入的并发症]

[Complications of synthetic hair implantation].

作者信息

Lange-Ionescu S, Frosch P J

机构信息

Hautklinik, Städtischen Kliniken Dortmund, Universität Witten/Herdecke.

出版信息

Hautarzt. 1995 Jan;46(1):10-4. doi: 10.1007/s001050050200.

DOI:10.1007/s001050050200
PMID:7875965
Abstract

Five men (average age 35 years) suffering from the sequelae of hair implants were examined in the course of claims for legal compensation. Polyether amide hair fibres had been implanted, 1000 per patient and session. In all cases the improved implantation technique with a fine needle and subcutaneous knotting had been used in a total of three institutions. Three patients developed bacterial folliculitis after 4-8 weeks; in the other two patients this developed later, after 3-6 months. In two patients the possible triggering event was the wearing of a motorcycle helmet and a vacation in a tropical climate respectively. In another patient the artificial hair curled considerably after he visited a sauna. The implanted hair had fallen out almost completely in all cases (100% in two patients after 9-12 months, 50-75% in three patients after 7 months to 2 years). All patients showed cosmetically disturbing small scars and pigmentary changes. Despite an apparently improved complication rate, the new technique of hair fibre implantation remains a doubtful procedure and cannot be recommended in view of possible permanent sequelae.

摘要

在法律赔偿索赔过程中,对5名患有植发后遗症的男性(平均年龄35岁)进行了检查。他们植入的是聚醚酰胺毛发纤维,每位患者每次植入1000根。在所有病例中,均采用了改进的植入技术,使用细针并在皮下打结,共涉及3家机构。3名患者在4 - 8周后出现细菌性毛囊炎;另外2名患者在3 - 6个月后出现。在2名患者中,可能的诱发事件分别是佩戴摩托车头盔和在热带气候地区度假。另一名患者在去桑拿后,植入的头发严重卷曲。在所有病例中,植入的头发几乎完全脱落(2名患者在9 - 12个月后100%脱落,3名患者在7个月至2年后50 - 75%脱落)。所有患者均出现了影响美观的小疤痕和色素沉着变化。尽管并发症发生率明显有所改善,但鉴于可能出现的永久性后遗症,毛发纤维植入新技术仍是一种存在疑问的手术方法,不建议采用。

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Primary cicatricial alopecia: diagnosis and treatment.原发性瘢痕性脱发:诊断与治疗
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