显微自体毛发单位移植治疗毛发缺失.docVIP

显微自体毛发单位移植治疗毛发缺失[摘要]目的:研究应用显微外科技术进行自体毛发单位移植治疗毛发缺失的临床疗效。 方法:切取耳后或头枕部条形头皮组织,低温下,手术显微镜配合将头皮分离成单株和多株移植物,并按需要将移植物移植入受区。结果:42例患者,60个毛发种植区完成手术。经6～12个月随访,移植后的毛发能覆盖受区皮肤,形态自然,效果满意,毛囊成活率90%～95%。结论:在显微外科设备辅助下,进行毛胚单位的移植,提高了毛囊移植过程中的解剖精度,减少损伤,提高成活率。该方法值得在毛发移植手术中推广应用。 [关键词]毛发;显微外科;移植;秃发 [中图分类号]R622[文献标识码]A[文章编号]1008-6455(2010)03-0305-02 Micro-units of hair autotransplantation for the application of hair loss WANG Hai-bo,ZHENG Ze,LI Wen-zhi (Departmeant of Plastic Sergery and Aesthetic SurgeryLaser Medicine,Beijing Anzhen Hospital,Beijing 100029,China) Abstract: ObjectiveTo investigate the methods of autologus follichlar unit transplantation on hairs-loss by micro-surgical.MethedsThe strip of scalp tissue was taken from the back of the head or behind the ear.Under a low temperature environment, the strip was divided into grafts of single-stock and of polystock.To go with operating microscope,these grafts were transplanted into recipient site,which according to different needs.Results60 recipients of 42 Patients complete hair implant surgery.As 6 ~ 12 month follow up, postgraft hair have links to area, effective natural morphology,hair follicle survival rate of 90% ~ 95%.Conclusion Microneurosurgical device application for castings units of Anatomy and transplantation,able to improve the hair follicle transplant anatomical accuracy in the process, reducing injuries, and improve the survival rate.Themethed is worth hair transplant surgery. Key words:hair;micro-surgical;transplantation;baldness 各种原因导致的毛发缺失临床多见[1-2],其中头发、眉毛、睫毛等头面部的毛发缺失对患者的心理压力最大[3],他们迫切要求恢复毛发的美观、自然形态。自毛发移植技术出现以后,随着其技术水平的不断提高,应用传统的整形外科手术方法治疗脱发的患者群体越来越少,毛发移植技术也向设备更专业、方法更精细的方向发展。笔者将显微外科技术应用于移植毛坯的解剖和移植过程中,为多种病因导致的头发、眉毛、睫毛等头面部毛发缺失患者实施了显微自体毛发单位移植手术,取得满意效果[4],现总结如下。 1材料和方法 1.1 材料 1.1.1 临床资料:自2004年5月～2009年12月,我科应用显微外科设备辅助进行毛胚精细解剖,为42例患者,60个头面部毛发缺损受区进行了自体毛发移植手术。其中,秃发患者18例、18个缺损受区,眉毛缺失患者14例、28个缺失受区,睫毛缺失患者4例,8 个缺损受区8胡须缺失患者6例,6个缺损受区。患者年龄13～56岁,平均33±1岁。 1.1.2. 设备:手术显微镜由江苏省镇江市光学仪器厂生产;成套显微外科手术器械由上海申