毛囊单位钻取术在男性女性型脱发患者中的应用

Application of follicular unit extraction in male patients with female pattern hair loss

目的观察毛囊单位钻取术在男性女性型脱发患者中的治疗效果。方法自2016年6月至2020年12月,复旦大学附属华山医院静安分院皮肤科对22例男性女性型脱发患者采用毛囊单位钻取术提取枕部毛囊,移植至头顶毛发稀疏区域,进行毛发加密。术后随访至少9个月,并对其治疗效果进行评价。结果本组22例患者术后随访见移植毛发方向自然、移植区毛发覆盖增加、外观形态自然。术后6个月,研究者总体评分头皮中间区和顶区达到改善和明显改善,比例分别为95.4%和86.4%;术后9个月,分别为95.4%和90.7%。患者总体满意率为90.9%。结论毛囊单位钻取术可有效改善男性女性型脱发患者头顶毛发覆盖度,患者满意度较高,值得临床推广应用。

Objective To observe the clinical efficacy of follicular unit extraction(FUE)in male patients with female pattern hair loss(FPHL).Methods From June 2016 to December 2020,22 male patients with FPHL underwent hair transplantation.Hair follicles were extracted from the occipital area by FUE and transplanted to the bald area on mid frontal scalp(F)and vertex(V)area.The postoperative follow-up was at least 9 months,and its efficacy was evaluated.Results Postoperative follow-up showed that the direction of transplanted hair and appearance was natural,the hair coverage on top of the scalp increased.At 6 months after surgery,the investigator’s global assessment(IGA)of improvement or significant improvement in F area and V area were 95.4%and 86.4%,respectively,and 95.4%and 90.7%at 9 months after the operation.The overall satisfaction of patients was 90.9%.Conclusion FUE can effectively improve the hair coverage of male patients with FPHL.The patient satisfaction is high.It should be considerable for clinical promotion and application.