微创裂隙法行美容性眉再造  

Aesthetic eyebrow reconstruction by micro-slit technique

作　　者：刘清[1] 

机构地区：[1]上海第二医科大学附属第九人民医院整复外科,200011

出　　处：《组织工程与重建外科杂志》2005年第4期199-201,共3页Journal of Tissue Engineering and Reconstructive Surgery

摘　　要：目的探索应用微创裂隙技术自体单株毛囊移植治疗各种原因所致的眉稀疏的方法。方法选取耳枕三角发际区域内含有完整毛囊的细小条形带发皮片,在2．5-4倍放大镜下,对其进行精细分割,制备成不同粗细的单株毛囊,然后将其按照眉毛的自然生长方向及走行,运用1mm蓝宝石裂隙刀按一定方向制备微小裂隙,运用Chio’s植毛器植入稀疏区域。结果300例451侧的眉毛稀疏的再造,大部分患者一期手术均取得满意的美容效果。经1年以上的临床随访,再造的眉毛生长良好,即使在细小疤痕区域内,成活率也可达到93％。再造的眉毛形态走向均较自然,但尚需一段时间的定型与修饰方可接近于正常的眉毛及外观。结论毛囊单株移植技术再造眉毛与其他的方式相比,手术方法简单,但在选择毛源以及种植部位的排列上,须掌握较高的手术技巧,此项手术创伤小,形态自然,逼真,术后恢复迅速,是目前眉毛美容性再造较为理想的手段。Objective To search a new option for aesthetic reconstruction of eyebrow. Methods Under local anesthesia, a scalp strip was harvested from the back angle of the head and ear, near the hairline. Under 2.5-4 times magnification, the strip was then divided into a series of micrografts with single-hair. After the micro-slits were prepared by 1-1.5mm 30-45 (sapphire knives in the recipient site, the grafts were implanted into the different-angle holes with the Chio's implanter, parallel to the original eyebrow direction. Results From July 2001 to Dec 2004, 300 patients with 451 eyebrow-sparseness, resulted from mini burn scar, lesion excising or congenital loss, were treated by this one-session operation. Most of the patients were satisfied with the results. Only severe scar cases need replant secondary. The grafted hairs grow nearly in the direction of normal eye-brow, which achieve 93% survival. The appearance of the reconstructed eyelashes was extremely natural, close to the normal one and quickly recovered, which compared to the traditional methods. Conclusion The mentioned technique is a simple, fine, safe and effective method for eyebrow reconstruction with the appearance much closer to normal one though it needs some skillful care of compressive stress and cutting for a period .

关 键 词：毛囊单株移植 眉毛美容性再造 Chio’s植毛器 

分 类 号：R622[医药卫生—整形外科]