真皮内充分肿胀麻醉对FUE毛发移植术供区创面恢复的影响  

Effect of full tumescent anesthesia in the dermis on wound recovery in the donor area during FUE hair transplantation

作　　者：王璐[1,2] 许颖溦[1,2,3] 赵尚华 张栋益 WANG Lu;XU Yingwei;ZHAO Shanghua;ZHANG Dongyi(Department of Plastic and Cosmetic Surgery,Henan University People's Hospital,Zhengzhou 450003,China)

机构地区：[1]河南大学人民医院整形美容外科,河南郑州450003 [2]河南省人民医院整形美容外科,河南郑州450003 [3]郑州大学人民医院整形美容外科,河南郑州450052

出　　处：《中国美容整形外科杂志》2024年第1期5-8,61,共5页Chinese Journal of Aesthetic and Plastic Surgery

摘　　要：目的探究毛囊单位提取技术(follicular unit extraction,FUE)毛发移植术中真皮内充分肿胀麻醉后“即肿即取”对供区创面恢复的影响。方法回顾性分析自2021年1月至2022年10月,就诊于河南省人民医院整形美容外科行FUE毛发移植术的96例雄激素性脱发或发际线调整患者,均于枕部优势供区钻取毛囊用于受区移植。根据其供区肿胀麻醉方式分为两组,其中供区真皮内行小范围“即肿即取”充分注射肿胀液的48例患者为观察组,行供区常规肿胀麻醉的48例患者为对照组,定期随访30~60 d,对比观察两组供区创面渗液类型、渗液量、周围皮肤颜色、创面组织类型以及创面完全愈合时间等创面愈合情况。结果术后3 d,观察组的渗液量、创面周围皮肤颜色和创面组织类型评分均低于对照组,差异有统计学意义(P<0.05),而创面渗液类型评分差异无统计学意义(P>0.05);术后4、5 d,两组创面渗液量、渗液类型和创面组织类型评分比较,差异均有统计学意义(P<0.05);观察组创面周围皮肤颜色评分在术后4 d评分低于对照组,差异有统计学意义(P<0.05),而在术后5 d,所有患者供区创面均呈现正常或粉色。观察组愈合时间[(4.08±0.28)d]较对照组[(4.44±0.77)d]明显缩短(t=-2.998,P<0.05)。术后14 d,观察组[(8.69±1.28)%]供区点状淡红色瘢痕面积占比明显小于对照组[(9.69±2.19)%],差异有统计学意义(t=-2.73,P<0.05)。结论FUE毛发移植术中采用真皮内充分肿胀麻醉后“即肿即取”患者的供区创面愈合情况及速度均明显优于常规肿胀技术患者。Objective To explore the effect of"tumescent and take"after full tumescent anesthesia in the dermis on wound recovery in the donor area during FUE hair transplantation.Methods A retrospective study was conducted on 96 patients with androgenic alopecia or hairline adjustment who underwent FUE hair transplantation.Hair follicles were harvested from the occipital region as the dominant donor site for transplantation to recipient sites.The patients were divided into two groups according to the method of tumescent anesthesia in the donor area.The observation group consisted of 48 patients who received a limited range of“tumescent and take”intradermal injection of tumescent fluid in the donor site,while the control group included 48 patients who received conventional tumescent anesthesia in the donor site.Regular follow-up was conducted for 30 to 60 d to observe.The wound healing conditions of the two groups,such as exudation type,exudation volume,skin color around the wound,tissue type and healing time,were compared.Results Three days after the surgery,the observation group had lower scores than the control group for exudation volume,skin color around the wound,and tissue type.The differences were statistically significant(P<0.05).While there was no significant difference in terms of exudation type(P>0.05).Four and five days after the operation,the differences of the score of exudate volume,exudation type and tissue type were statistically significant(P<0.05).Four days after the operation,the score of skin color around the wound was significantly lower in the observation group than in the control group(P<0.05).Five days after the operation,the donor wounds of all patients were normal or pink.The healing time of observation group[(4.08±0.28)d]was significantly shorter than that of control group[(4.44±0.77)d](t=-2.998,P<0.05).Four days after the surgery,the percentage of spotty pale red scar area in the donor area of the observation group[(8.69±1.28)%]was significantly lower than that of the control group[(9.69±

关 键 词：毛发移植术 毛囊单位提取技术 即肿即取 肿胀麻醉 创面愈合 

分 类 号：R758.71[医药卫生—皮肤病学与性病学]