回顾性分析电解白发联合毛囊移植治疗25例毛发部位白癜风的疗效  

Efficacy of electrolysis of depigmented hair combined with hair follicle transplantation in the treatment of 25 cases of vitiligo-associated leukotrichia:a retrospective analysis

作　　者：王涛[1] 武毅 靳虹 戴叶芹[1] 彭建中[1] 许爱娥[1] 宋秀祖[1] Wang Tao;Wu Yi;Jin Hong;Dai Yeqin;Peng Jianzhong;Xu Ai′e;Song Xiuzu(Department of Dermatology,Hangzhou Third People′s Hospital,Hangzhou 310009,China)

机构地区：[1]杭州市第三人民医院皮肤科,杭州310009

出　　处：《中华皮肤科杂志》2024年第1期46-49,共4页Chinese Journal of Dermatology

摘　　要：目的 总结睫毛电解器电解白发联合毛囊移植治疗毛发部位白癜风的临床疗效.方法 回顾性分析2019年1月至2021年1月杭州市第三人民医院皮肤外科收治的25例稳定期白癜风伴毛发色素脱失患者的临床资料.所有患者均采用睫毛电解器电解白发联合毛囊移植治疗病损处白发.术后1周、1个月、3个月、6个月门诊随访,观察移植毛发质地及生长情况,并记录移植毛囊成活率及新生白发率.结果 25例稳定期白癜风患者中,男14例,女11例,病程2~15年,平均5.8年.共30处病损,位于头皮9处,眉毛7处,睫毛14处.术后1周所有患者移植毛发存活良好,未见明显脱落,无局部感染.术后6个月原病损区毛发基本复色,仅有少许白发新生,未见明显瘢痕形成;移植毛囊成活率76.5%±10.0%,白发新生率16.7%±7.8%.结论 睫毛电解器电解白发联合毛囊移植治疗毛发部位白癜风,过程简单易行,疗效较好,且术后并发症少,为临床治疗毛发部位白癜风提供可靠的选择.Objective To analyze the clinical efficacy of electrolysis of depigmented hair using a trichiasis electrolyzer combined with hair follicle transplantation in the treatment of vitiligo-associated leukotrichia.Methods Clinical data were retrospectively collected from 25 patients with stable vitiligo-associated leukotrichia in the Department of Dermatologic Surgery,Hangzhou Third People′s Hospital from January 2019 to January 2021.All the patients received electrolysis of depigmented hair using a trichiasis electrolyzer combined with hair follicle transplantation.Outpatient follow-up visits were conducted in the first week,as well as the first,third and sixth months after surgery.The texture and growth status of transplanted hair were observed,and the survival rate of transplanted hair follicles and the proportion of newborn white hair in white hair in the original lesions were recorded.Results Among the 25 patients with stable vitiligo,there were 14 males and 11 females,and their disease duration ranged from 2 to 15 years,with the average duration being 5.8 years.A total of 30 white patches accompanied by leukotrichia were included,including 9 on the scalp,7 on the eyebrows and 14 on the eyelashes.One week after surgery,the transplanted hair survived well in all patients,without obvious shedding or local infection.Six months after surgery,repigmentation was observed in most hair in the original lesion area,and only a small amount of white hair grew out,without obvious scarring;the survival rate of transplanted hair follicles was 76.5%±10.0%,and the proportion of newborn white hair in white hair in the original lesions was 16.7%±7.8%.Conclusion Electrolysis of depigmented hair using a trichiasis electrolyzer combined with hair follicle transplantation was effective in the treatment of vitiligo-associated leukotrichia,with a simple treatment process and few postoperative complications,which provided a reliable choice for the clinical treatment of vitiligo-associated leukotrichia.

关 键 词：白癜风 毛发去除 头皮 眉毛 睫毛 毛囊移植 电解器 

分 类 号：R758.41[医药卫生—皮肤病学与性病学]