单位毛囊移植修复疤痕性睫毛缺损  

Aesthetic eyelash reconstruction by follicular-unit hair grafting technique

作　　者：刘清[1] 张余光[1] 钱云良[1] 

机构地区：[1]上海第二医科大学第九人民医院整复外科,上海200011

出　　处：《上海第二医科大学学报》2004年第8期615-617,共3页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的 应用毛发单位移植治疗各种原因所引起的睫毛永久性缺损。方法 36例(42侧)睑缘疤痕性睫毛缺损,切取耳后枕部发际区域内含有完整毛囊的细小条形头皮组织瓣,于手术放大镜下精细分割,制备成毛囊单位,运用Chio's植毛器将其按照睫毛自然生长和走行方向植入缺损区域。结果 大部分患者一期手术即取得满意的美容效果。经1年以上的临床随访,再造睫毛生长良好,即使在疤痕区域内,成活率也可达到85%,其形态走向均较自然,仅需稍加修饰即可接近于正常的睑缘睫毛。结论 毛囊单位移植技术再造睫毛,手术简单,创伤小,形态自然逼真且成活率高,是目前睫毛美容性再造较为理想的手段。Objective To search a new option for aesthetic reconstruction of eyelash. Methods Thirty-six pa-tients with 42 eyelash-losses resulted from burn scar lesion excision or congenital loss . Under local anesthesia, a scalp strip was harvested from the back of the head, near the hairline. After the micro-slits were prepared in the recipient site, the grafts were implanted into the holes with the Chio's implanter, parallel to the direction of the the original eyelash. Results Most of the patients were satisfied with the results of one-stage operation. Only severe scar cases need secondary replant. The grafted hairs grow nearly in the direction of normal eye-lashes, which achieved 85% survival even in a scarred area. The appearance of the reconstructed eyelashes was extremely natural, close to the normal one and quickly recovered. Conclusion The above mentioned technique is a simple,fine, safe and ef-fective method for eyelash reconstruction with the appearance much closer to normal eyelash.

关 键 词：单位毛囊 毛囊移植 疤痕性 睫毛缺损 Chio’s植毛器 

分 类 号：R622[医药卫生—整形外科]