follicular unit excision

卵泡单位切除
  • 文章类型: Journal Article
    背景:对外观不满意的发际线进行激光脱毛治疗通常会导致不自然的外观;但是,很少有研究报告治疗结果.
    目的:探讨涉及发际线的激光脱毛满意率。
    方法:回顾性分析。
    方法:数据来自5个临床机构。
    方法:接受激光脱毛的患者(915名;630名女性和285名男性)。
    方法:对与脱毛相关的问题进行了分类,并计算了它们的比例。进行毛发移植以改善不同发际线问题的外观。
    方法:毛发移植相关指标及术后效果。
    结果:总体而言,82例患者对发际线外观不满意;这些患者中,58例进行了毛发移植以改善发际线。此外,人口统计数据显示,68%和32%的患者处于20至30岁和30至40岁年龄组,分别;40至50岁年龄组中没有患者。在接受头发移植的女性患者中,25%的人发际线位置不佳,64%的人有僵硬的发际线外观,11%的人经历了这两个问题。在男性患者中,50%有僵硬的发际线外观,28%有暂时缺席,22%的人经历了这两个问题。手术治疗包括向前移动发际线和重建额叶曲线。所有患者对毛发移植结果均满意。
    结论:激光脱毛可导致各种类型的不自然发际线。头发移植已被证明可以有效改善发际线的美学外观。
    BACKGROUND: Laser hair removal treatment for hairlines with an unsatisfactory appearance often leads to an unnatural appearance; however, few studies have reported treatment outcomes.
    OBJECTIVE: To explore the satisfaction rate of laser hair removal involving the hairline.
    METHODS: Retrospective analysis.
    METHODS: Data from 5 clinical institutions.
    METHODS: Patients (915; 630 female and 285 male) who underwent laser hair removal.
    METHODS: Issues associated with hair removal were classified, and their proportions were calculated. Hair transplantation was performed to improve the appearance of different hairline issues.
    METHODS: Relevant indicators of hair transplantation and postoperative effects.
    RESULTS: Overall, 82 patients were unsatisfied with their hairline appearance; of these patients, 58 underwent hair transplantation to improve the hairline. Additionally, demographic statistics showed that 68% and 32% of patients were in the 20 to 30 and 30 to 40 years age groups, respectively; there were no patients in the 40 to 50 years age group. Among female patients who underwent hair transplantation, 25% had a poor hairline position, 64% had a stiff hairline appearance, and 11% experienced both issues. Among male patients, 50% had a stiff hairline appearance, 28% had temporal absence, and 22% experienced both issues. Surgical treatment included moving the hairline forward and rebuilding the frontal curves. All patients were satisfied with hair transplantation outcomes.
    CONCLUSIONS: Laser hair removal can result in diverse types of unnatural hairlines. Hair transplantation has been proven to effectively improve the aesthetic appearance of the hairline.
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  • 文章类型: Journal Article
    背景:局部肿胀麻醉可缓解术后疼痛。
    目的:本研究的目的是比较注射含/不含罗哌卡因的肿胀溶液对术后疼痛的影响。
    方法:随机,我们在获得知情同意和伦理委员会批准后接受首次卵泡单位切除的314例患者中进行了双盲对照研究.将患者随机分为三组:组内(第1组,注射罗哌卡因肿胀溶液;第2组,不注射罗哌卡因)和组间(第3组,右头/左头侧有/没有罗哌卡因)。使用5分Wong-Baker面部疼痛量表记录术后疼痛。未对任何患者进行术前镇痛。在随访期间使用皮肤镜测量毛囊的存活率。对数据进行统计分析。
    结果:在纳入研究的314名患者中,男性166人,女性148人,平均年龄32.15±4.58(范围,25-45)年。两组使用罗哌卡因的术后疼痛均明显优于不使用罗哌卡因的术后疼痛(p<0.05)。在组内或组间,性别和毛囊的存活率之间没有显着差异。
    结论:使用罗哌卡因的肿胀溶液已被证明可以缓解术后疼痛,并且是一种安全且有价值的局部麻醉形式。
    BACKGROUND: Local tumescent anesthesia relieves postoperative pain.
    OBJECTIVE: The objective of the study was to compare the effect of injecting a tumescent solution with/without ropivacaine on postoperative pain.
    METHODS: A randomized, double-blind control study was conducted in 314 patients who underwent first follicular unit excision after obtaining informed consent and ethics committee approval. The patients were randomly divided into three groups: intra-groups (group 1, injected with tumescent solution with ropivacaine; group 2, without ropivacaine) and inter-group (group 3, right-head/left-head side with/without ropivacaine). Postoperative pain was recorded using the 5-point Wong-Baker Faces Pain Scale. No preoperative analgesic was administered to any patient. The survival rate of hair follicles was measured using dermoscopy during follow-up. Data were statistically analyzed.
    RESULTS: Of the 314 patients included in the study, 166 were men and 148 were women with a mean age of 32.15 ± 4.58 (range, 25-45) years. Postoperative pain with ropivacaine was significantly more relieved compared with that without ropivacaine in both groups (p < 0.05). There was no significant difference between sex and survival rate of hair follicles in the intra- or inter-group.
    CONCLUSIONS: A tumescent solution with ropivacaine has proven to relieve postoperative pain and is a safe and valuable form of local anesthesia in follicular unit excision.
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  • 文章类型: Journal Article
    背景:瘢痕性脱发可显著影响儿童的情绪。毛囊单位切除(FUE)和毛囊单位移植(FUT)已用于瘢痕治疗。
    目的:本研究旨在评估毛囊单位毛发移植治疗儿童瘢痕性脱发的安全性和可行性。
    方法:共有9名儿童(7名男性和2名女性)患有瘢痕性脱发,年龄从5岁开始,2个月到12年,本研究包括10个月。瘢痕形成时间7个月~5年。站点是顶点(2),眉毛(3),正面发际线(3),和时间区域(2)。
    结果:本组9例患儿随访6~34个月,治疗方案如下:FUE(5例),FUT(3例),和FUT结合FUE(1例)。治疗期间无明显并发症发生。移植的头发长得很好,方向和形状令人满意,生存率>90%。
    结论:对于手术后烧伤和瘢痕性脱发的儿童,毛发移植可以显著改善其外观,手术风险低,患者满意度高。
    BACKGROUND: Scarring alopecia can significantly affect children emotionally. Follicular unit excision (FUE) and follicular unit transplantation (FUT) have been applied for scar treatment.
    OBJECTIVE: This study aimed to evaluate the safety and feasibility of follicular unit hair transplantation in treating scarring alopecia in children.
    METHODS: A total of nine children (seven males and two females) with cicatricial alopecia, ranging in age from 5 years, 2 months to 12 years, 10 months were included in this study. Scar formation time ranged from 7 months to 5 years. Sites were vertex (2), eyebrow (3), frontal hairline (3), and temporal regions (2).
    RESULTS: Nine children in this group were followed up for 6-34 months with the following treatment options: FUE (5 cases), FUT (3 cases), and FUT combined with FUE (1 case). No significant complications were observed during the treatment. The transplanted hair grew well, the direction and shape were satisfactory, and the survival rate was >90%.
    CONCLUSIONS: For children with burn trauma and cicatricial alopecia after surgery, hair transplantation can significantly improve their appearance with low surgical risk and high patient satisfaction rate.
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