摘要
目的 探讨一种有效治疗瘢痕性秃发的方法。方法 1993年～ 1998年 ,收治多部位或大面积瘢痕性秃发 2 1例 ,根据秃发部位和面积的不同 ,对同一患者的瘢痕性秃发分别采用头皮扩张与自体头发移植术 (带毛囊薄皮条移植 )进行治疗 ,共安放皮肤扩张器 34枚 ,修复秃发的最大面积为 34 0 cm2 。结果 无论秃发区面积的大小 ,或是鬓角、发际等特殊部位的秃发 ,术后创面愈合良好 ,秃发区均得到较满意的修复。 1个月后移植的带毛囊薄皮条基本成活 ,并可见毛发生长。本组术后发生扩张器外露 1例 ,扩张失败 1例 ,均及时取出处理。另有 2例头发生长方向改变。结论 头皮扩张与自体头发移植术联合应用 ,是治疗多部位或大面积瘢痕性秃发较理想的方法。
Objective To investigate the effective method to treat cicatricial baldness. Methods From 1993 to 1998, 21 cases with multi-region or great-dimensional cicatricial baldness were treated with scalp expanding and hair autografting. Among them, there were 17 males and 4 females, aged from 14 to 49 years old. The operation was divided into two stages, stage one meaned to embed the expander under the scalp and stage two meaned to sow the autogenous hair. Results All cases, no matter what the position and area, were repaired successfully. The biggest dimension of repaired baldness was 340 cm 2, one expander exposed and one failed in expanding after operation and be corrected immediately. The normal hair direction changed in two cases. Conclusion Combined use of scalp expanding and hair autografting is an effective method to treat multi-region or great dimensional cicarticial baldness.
出处
《中国修复重建外科杂志》
CAS
CSCD
2001年第2期99-100,共2页
Chinese Journal of Reparative and Reconstructive Surgery
