不同毛发移植术式对毛发缺失效果的探讨研究
发布时间：2018-10-12 12:33
【摘要】：目的:从1822年(最早有文献记载的“毛发移植术”)至今,目前世界上毛发移植术的两大方法是毛囊单位移植术(FUT)和毛囊单位抽取术(FUE),而FUE在毛发移植中逐渐占有重要的地位,我科近年在两大治疗毛发缺失的方法中,探索分析手术中的主要步骤及其优缺点,寻找治疗毛发缺失的理想方法。方法:选取不同原因引起体表毛发缺失患者11名(其中运用FUT治疗5名,FUE治疗4名,FUT+FUE联合治疗2名),监控毛发移植的每个环节(毛发供区的范围、手术中毛囊的提取及保存等),并通过比较其手术时间及人员配备、术后效果及毛发存活率、患者的术后反馈等项目来评估治疗方法。结果:运用FUT治疗的毛发缺失患者,术后效果可,少数患者要求再次手术加密,手术过程中人员配置约4-6人,而且耗时、耗神,病人手术后反馈有手术切口,术后需要换药拆线及遗留线性疤痕等;运用FUE治疗毛发缺失的患者,效果尚可,大部分在一期手术后要求再次手术加密,手术中器械会损伤部分毛囊单位,术中人员配置至少约2-3人,术后患者反馈虽无需换药及拆线,但手术时间较长。结论:目前世界上两大毛发移植术在毛发缺失的治疗中,各有优缺点,术后均有部分患者要求再次行手术加密,通过探讨及分析其各优缺点,为患者选择最优的治疗方式(在大面积毛发缺失患者中两种技术的综合治疗可取得较好的效果),尽量通过一次性手术达到患者要求及临床上的理想效果。但无论选择哪种治疗方案,在毛发移植的过程中均需要医生具有足够的耐心、责任感及专业的技术。
[Abstract]:Objective: from 1822 (the earliest documented "hair transplantation") until now, the two major methods of hair transplantation in the world are hair follicle unit transplantation (FUT) and hair follicle unit extraction (FUE),). FUE gradually occupies an important position in hair transplantation. In recent years, among the two major methods of treating hair loss, our department has explored and analyzed the main steps, advantages and disadvantages of the operation, and looked for an ideal method for the treatment of hair loss. Methods: 11 patients with body surface hair loss caused by different causes (5 patients treated with FUT and 2 patients treated with FUE combined with, FUT FUE) were selected to monitor each stage of hair transplantation (the area of hair donor area). The extraction and preservation of hair follicles during operation) and the evaluation of treatment methods by comparing the operation time and staffing, postoperative effect and hair survival rate, postoperative feedback of patients, etc. Results: the postoperative effect of the patients with hair loss treated with FUT was good. A few patients required re-operation encryption. During the operation, the staffing was about 4-6 people, and it was time consuming and energy consuming. The patient feedback had an incision after operation. After the operation, we need to change the dressing and remove the thread and leave a linear scar. The effect of using FUE to treat the patients with hair loss is fairly good. Most of the patients require re-operation after the first stage operation, and the instruments will damage some hair follicle units during the operation. The operative staffing was at least 2-3. The postoperative feedback was not needed, but the operation time was longer. Conclusion: at present, the two major hair transplantation in the world have their own advantages and disadvantages in the treatment of hair loss. To select the best treatment for patients (in large areas of hair loss patients can be achieved by two techniques of comprehensive treatment), as far as possible through one-off surgery to achieve patient requirements and clinical ideal results. However, whatever treatment is chosen, the patient, responsible and professional skills of the doctor are required in the hair transplant process.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R622
本文编号：2266128
[Abstract]:Objective: from 1822 (the earliest documented "hair transplantation") until now, the two major methods of hair transplantation in the world are hair follicle unit transplantation (FUT) and hair follicle unit extraction (FUE),). FUE gradually occupies an important position in hair transplantation. In recent years, among the two major methods of treating hair loss, our department has explored and analyzed the main steps, advantages and disadvantages of the operation, and looked for an ideal method for the treatment of hair loss. Methods: 11 patients with body surface hair loss caused by different causes (5 patients treated with FUT and 2 patients treated with FUE combined with, FUT FUE) were selected to monitor each stage of hair transplantation (the area of hair donor area). The extraction and preservation of hair follicles during operation) and the evaluation of treatment methods by comparing the operation time and staffing, postoperative effect and hair survival rate, postoperative feedback of patients, etc. Results: the postoperative effect of the patients with hair loss treated with FUT was good. A few patients required re-operation encryption. During the operation, the staffing was about 4-6 people, and it was time consuming and energy consuming. The patient feedback had an incision after operation. After the operation, we need to change the dressing and remove the thread and leave a linear scar. The effect of using FUE to treat the patients with hair loss is fairly good. Most of the patients require re-operation after the first stage operation, and the instruments will damage some hair follicle units during the operation. The operative staffing was at least 2-3. The postoperative feedback was not needed, but the operation time was longer. Conclusion: at present, the two major hair transplantation in the world have their own advantages and disadvantages in the treatment of hair loss. To select the best treatment for patients (in large areas of hair loss patients can be achieved by two techniques of comprehensive treatment), as far as possible through one-off surgery to achieve patient requirements and clinical ideal results. However, whatever treatment is chosen, the patient, responsible and professional skills of the doctor are required in the hair transplant process.
【学位授予单位】：福建医科大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R622
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