89例常见秃发的毛发结构检查分析.pdfVIP

272 Southern China Journal of Oermato-Venereology , October 江附6. Vol. 13. No.4 ·论著· 89 例常见秃发的毛发结构检查分析 卢肖霞， 侯显曾 (广州医 学 院附属第 一医院就发 治 疗 中心 ， 广东 广州 510120) [摘要] 目的: 探讨毛发结构异常与常见秃发类型的相关性 。 方法: 收集 89 例常见秃发患者的头发 每人次 I ∞ 根，于光镜及电镜下观察其结构是否异常 。 结果: 经统计斑秃 (AA) 的生长期脱发是以感叹 号样发为主 ，伴断发时可见有羽状脆发、偶见粗细段发、结节状脆友或伴有毛小皮损 伤; 男 性型秃发 (MPA ) 、女性型秃发 (FPA ) 的休止期脱发是以柏: ( 榜 )状发为主;另外女性秃发患者经常伴有管状发硝 (毛管型 ) Q 26 例进行治疗前后的毛发结构检查 ，经有效治疗后所有秃发病例感叹号样发减少， 而将状 发都不同程度增加 。 结论: 毛发的结构异常与常见秃发类 型 相关 。 毛发结构检查的静态及动态观察， 对秃发的诊断、疗效判断具有重要临床意义。 [关键词] 常见秃发; 毛发结构 [申图分类号] R758.71 ( 文献标识码 ] A ( 文章编号] 1009 - 8968(2∞6)04 -0272-04 Tbe Hair Examination and Analysis in 89 Caωs with Alopecia Lu Xioo-x叨 ， Hou Xian-zeng (Departmelú 01 DennaωkJgy ， the First t1庐liated Hospital 01 Guangzhou Medical College , Gωng- zhou 5!0120 ,China) [ Abstract] Objective: To inv时tigate the I哩lationship between abnOllll81ity of hair structure and 出e common alopccia type. Methods: 1 ∞ h缸r from every 89 cases with 810pecia were examined under the light microscope and electron micros∞pe. Results;, In 810pecia areata ( AA) , most of examination hairs were eλclamation mark-shaped hair, others were trichoptilosis 、 degrec of finish hair , trichorrhexis nodosa 、 hai r cuticle damage; in male pattem alopecia ( MPA) and fcmale paltem 810pecia ( FP A) ? most ()f eλam i nation hairs were club - shaped hair , FPA oflen showed the hair casts. Hair写 from 26 cases. the exclamaLion mark - shaped hair reduced and club - shaped hair increased. Conclusion: There were relationship in hair struclure abnormality and the common 810- peciatype. The exanunation of the hair has a important clinic signific