原发性瘢痕性秃发移植后毛囊单位移植存活率的系统综述。

IF 2.5 3区医学 Q2 DERMATOLOGY

Dermatologic Surgery Pub Date : 2025-05-29 DOI:10.1097/DSS.0000000000004707

Valerie Yii, Anthony Moussa, Daranporn Triwongwaranat, Blake R C Smith, Bevin Bhoyrul

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引用次数: 0

摘要

背景：原发性瘢痕性脱发（Primary cicarial alopecia， PCA）是指一组临床多样化的炎症性脱发疾病，其特征是毛囊的不可逆破坏和瘢痕形成。毛发移植（毛囊单位提取[FUE]或条状收获毛囊单位移植[FUT]）已被提议作为治疗非活动性PCA的一种方法。目的：本研究旨在评价HT治疗PCA的有效性和安全性。方法：系统回顾了评估成人（≥18岁）使用FUE或FUT治疗PCA的研究。主要观察指标为卵泡单位（FU）移植存活率。次要结局包括术后并发症和患者满意度。结果：8项观察性研究共123例患者符合纳入标准。总体而言，HT术后加权FU移植存活率为7 ~ 12个月82.7%，13 ~ 24个月73.3%，25 ~ 36个月58.4%，37 ~ 48个月55.4%，49 ~ 72个月39.6%。4例患者在HT后出现疾病再激活。结论：对于不活跃的PCA， FUE或FUT治疗后FU移植物的存活率在1年内达到峰值，并随着时间的推移而降低。

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A Systematic Review of Follicular Unit Graft Survival Rates After Hair Transplantation in Primary Cicatricial Alopecia.

Background: Primary cicatricial alopecia (PCA) refers to a clinically diverse group of inflammatory hair loss disorders characterized by the irreversible destruction and scarring of hair follicles. Hair transplantation (follicular unit extraction [FUE] or strip harvesting follicular unit transplantation [FUT]) has been proposed as a treatment for inactive PCA.

Objective: This study aims to evaluate the efficacy and safety of HT for the management of PCA.

Methods: A systematic review was conducted to identify studies assessing treatment of PCA in adults (≥18 years) with FUE or FUT. The primary outcome measure was follicular unit (FU) graft survival rate. Secondary outcomes included postoperative complications and patient satisfaction.

Results: Eight observational studies with a total of 123 patients met the inclusion criteria. Overall, the weighted FU graft survival rate after HT was 82.7% at 7 to 12 months, 73.3% at 13 to 24 months, 58.4% at 25 to 36 months, 55.4% at 37 to 48 months and 39.6% at 49 to 72 months. Four patients developed reactivation of their disease after HT.

Conclusion: The FU graft survival rate after FUE or FUT for the management of inactive PCA peaks at 1 year and diminishes over time.

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来源期刊

Dermatologic Surgery 医学-皮肤病学

CiteScore

3.10

自引率

16.70%

发文量

547

期刊介绍： Exclusively devoted to dermatologic surgery, the Dermatologic Surgery journal publishes the most clinically comprehensive and up-to-date information in its field. This unique monthly journal provides today’s most expansive and in-depth coverage of cosmetic and reconstructive skin surgery and skin cancer through peer-reviewed original articles, extensive illustrations, case reports, ongoing features, literature reviews and correspondence. The journal provides information on the latest scientific information for all types of dermatologic surgery including: -Ambulatory phlebectomy- Blepharoplasty- Body contouring- Chemical peels- Cryosurgery- Curettage and desiccation- Dermabrasion- Excision and closure- Flap Surgery- Grafting- Hair restoration surgery- Injectable neuromodulators- Laser surgery- Liposuction- Microdermabrasion- Microlipoinjection- Micropigmentation- Mohs micrographic surgery- Nail surgery- Phlebology- Sclerotherapy- Skin cancer surgery- Skin resurfacing- Soft-tissue fillers. Dermatologists, dermatologic surgeons, plastic surgeons, oculoplastic surgeons and facial plastic surgeons consider this a must-read publication for anyone in the field.