精细毛囊单位提取移植术修复瘢痕性眉缺损的临床效果

Clinical effects of fine follicular unit extraction and transplantation in repairing cicatricial eyebrow defects

目的观察精细毛囊单位提取(FUE)移植术修复瘢痕性眉缺损的临床效果。方法采用回顾性观察性研究方法。2013年9月—2020年1月,空军军医大学第一附属医院行精细FUE移植术治疗瘢痕性眉缺损患者58例,其中男36例、女22例,年龄12~40岁。观察并计算术后10个月的毛发成活率,并根据毛发成活率行疗效评级;术后1年采用视觉模拟评分法评价患者满意度;记录术中及术后1年内的不良反应,并计算不良反应发生率。结果58例患者术后10个月的毛发成活率为(84±5)%。本组患者疗效评价中疗效佳者4例(6.9%)、疗效极佳者54例(93.1%),满意度评价中等满意者4例(6.90%)、相当满意者5例(8.62%)、非常满意者49例(84.48%)。本组患者中11例患者发生不良反应,共14例次,发生率为24.14%。结论精细FUE移植术可以为瘢痕性眉缺损患者提供良好的美容修复效果,且患者满意度高、不良反应少。

Objective To observe the clinical effects of fine follicular unit extraction(FUE)and transplantation in repairing cicatricial eyebrow defects.Methods The retrospective observational study was conducted.From September 2013 to January 2020,58 patients(36 males and 22 females,aged 12-40 years)underwent fine FUE and transplantation to treat cicatricial eyebrow defects in the First Affiliated Hospital of Air Force Medical University.The hair survival rate in 10 months post operation was observed and calculated,and the curative effect was graded.Visual Analogue Scale was used to evaluate patients'satisfaction in one year post operation.The adverse reactions during operation and within one year post operation were recorded,and the adverse reaction incidence was calculated.Results The hair survival rate of 58 patients in 10 months post operation was(84±5)%.Four patients(6.9%)had good curative effect,54 patients(93.1%)had excellent curative effect in effect evaluation.Four patients(6.90%)were moderately satisfied,5 patients(8.62%)were fairly satisfied,and 49 patients(84.48%)were very satisfied in satisfaction evaluation.Twelve patients had 14 adverse reactions,with an incidence of 24.14%.Conclusions Fine FUE and transplantation can provide good cosmetic results for patients with cicatricial eyebrow defects,with high satisfaction of patient and few adverse reactions.