脂肪干细胞基质胶辅助脂肪移植在瘢痕性脱发的毛发移植效果

Clinical outcome of hair transplantation combined with SVF GEL assisted fat transplantation in cicatricial alopecia

目的探讨脂肪干细胞基质胶(Stromal vascular fraction gel,SVF-GEL)辅助脂肪移植在瘢痕毛发移植的效果。方法2017年10月至2019年8月,上海美莱医疗美容医院整形外科诊治头面部烧伤、肿瘤切除等因素引起的瘢痕性脱发患者11例,男5例,女6例;年龄22〜41岁,平均29.7岁。瘢痕性脱发患者均于头皮瘢痕处接受SVF胶辅助颗粒脂肪移植,并同期根据其瘢痕面积准确计算所需毛发移植数量,行毛发移植术。结果术后随访6〜16个月,平均11个月,11例患者毛发生长良好,外观改善明显,无并发症发生。用毛囊检测系统分析移植后毛发密度,平均存活率90.26%,患者满意率较高。结论SVF胶辅助脂肪移植能有效提高毛发存活率,与毛发移植联合应用能有效治疗瘢痕性脱发,值得临床应用。

Objective To explore the clinical effects of hair transplantation combined with SVF GEL assisted fat transplantation in treating cicatricial alopecia.Methods Eleven patients(5 males and 6 females,ranging from 22 to 41 years old)with cicatricial alopecia caused by burn or tumor excision in Shanghai Mylike Cosmetic Hospital from October 2017 to August 2019.All patients were treated with hair transplantation combined with SVF GEL assisted fat transplantation according to their scar areas.Results Patients were followed up for 11 months on average,their hair grew well,with significantly improved appearances and no obvious complications.Hair follicle detection system was used to analyze the hair density after transplantation.The average survival rate reached 90.26%in accompany with desirable patients,satisfactory rates.Conclusions Excellent results can be achieved by conducting hair transplantation combined with SVF GEL assisted fat transplantation in treating cicatri-cial alopecia,which is worth clinical application.