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題名 | Laser Hair Transplantation in Orientals=東方人的雷射植髮 |
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作 者 | 蔡仁雨; 何信君; 陳東佑; 曾興隆; | 書刊名 | 中華皮膚科醫學雜誌 |
卷期 | 15:2 1997.06[民86.06] |
頁次 | 頁61-66 |
分類號 | 416.4 |
關鍵詞 | 東方人; 雷射植髮; Hair transplantation; High-energy carbon dioxide laser; Laser-tissue interaction; |
語文 | 英文(English) |
中文摘要 | 背景:現今高能二氧化碳雷射的研發,提供了頭髮移植手術在技術上極大的進步,它的益處包括減少出血、手術時間及髮株的壓迫等。適合西方人的多種雷射植髮參數已被提出,但無東方人的文獻報告。目的:評估東方人高能量二氧化碳雷射植髮手術效果及找出最適合的雷射參數。方法:本研究在18個月內,總共有20位病人參與,在頭皮兩側,一邊以各種不同雷射參數植髮,另一邊用NOKOR針頭或顯微擴張器植髮,來比較其髮株的存活率,並以皮膚切片檢視不同雷射參數下組織的病理變化。結果:初期5位病人以能量45-50瓦作用時間0.2-.07秒的雷射參數所作的顯微植髮,其生長不如傳統方法. 經調整雷射參數為能量55瓦、作用時間0.1-0.15秒後,髮株存活率提高至約80-90%;除此之外,雷射植髮側頭髮生長的自然度及稠密度也較為大多數病人滿意。結論:從目前研究,我們發現能量55瓦、作用時間0.1-0.15秒的二氧化碳雷射植髮參數較適合東方人,且能得到較佳臨床效果。 |
英文摘要 | Background: The advent of high energy carbon dioxide laser assisted hair transplantation in recent years has made a great advance of implanting technique in the hair restoration surgery, which offers the advantages of less bleeding, time consuming and grafts compression etc. Many laser parameters have been recommended in Caucasian but not oriental patients. Objective: To determine the effectiveness as well as suitable parameters of laser hair transplantation in oriental patients. Methods : Various CO2 laser parameters were used to compare the survival rate with traditional Nokor needle or microdilator on each side of scalp for micrografting. A total of 20 patients jointed the study in the past 18 months. Skin biopsy was performed to examine the tissue effect of different laser parameters. Result : The hair growth was poor than conventional micrografting in the first 5 cases with the CO2 laser parameters of 45-50W, 0.2-0.7 sec. After adjusting the parameters to 55W, 0.1-0.15 sec, the survival rate increased to about 80-90%. In addition, the naturality and density of hair growth were more satisfied in the laser transplanted site by most patients. Conclusion : From our present study, we find the CO2 laser parameters of 55W, 0.1-0.15sec are the appropriat parameter for oriental patients with good clinical result. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。