摘要目的 探讨应用单株自体毛发移植再造胡须的临床效果.方法 对先天性胡须稀疏18例,上唇唇裂术后及外伤清创缝合术后细小瘢痕3例,共21例患者行单株自体毛发移植再造胡须或掩盖瘢痕.于枕后区切取长约5～7 cm、宽约1.0～1.5 cm头皮块,以片切法将其制备成为单株移植单位后按一定方向及规则植入受区,供区做间断缝合关闭.结果 本组21例患者中,19例经1次手术后即取得满意效果,其余2例经2次补植后效果满意.其中15例患者随访1年,术后生长恢复迅速,外形自然,毛发移植单位存活率达90 %～95 %. 结论单株自体毛发移植再造胡须,具有术后再生快、形态好等优点,是一种较好地再造胡须方法.

abstractsObjective To search for a good solution for aesthetic beard reconstruction and to explore the effect of the single-hair grafting in beard reconstruction. Methods Under the local anesthesia, a scalp strip (length range from 5～7 cm, width range from 1.0～1.5 cm) was harvested from the back of the head and then was divided into a series of single-hair micrografts. After the slits were made, the grafts were implanted into the holes, parallel to the original beard directions. The donor sites were directly closed. With this method, 18 sparse beard patients and 3 patients with upper lip scars were treated. Results The grafted hairs grew nearly in the direction of normal beard, which achieved 90 %～95 % survival in recipient areas. The patients were satisfied with the results, in which 19 cases received only 1 operation and 2 cases received another repeated operation. Conclusion Beard reconstruction by single-hair grafting technique is a good, safe and effective method.