摘要目的 探讨用注射器针头打孔自体单株头发毛囊种植修复眉缺损的效果.方法 对52例(双侧眉缺损35例,单侧缺损17例,共计87条眉毛)因烧伤、外伤、手术切除、眉修饰不当等原因造成的眉缺损患者,采用切取枕后头发安全供区或颞部头皮条的方法,在3倍放大镜下制成毛干长1～2 cm的单株移植物,并利用21G或22G注射器针头穿刺打孔,然后用显微镊夹持毛干部,将头发移植至眉缺损部位修复其形态.结果 术后2例烧伤后患者出现毛囊炎,经75％乙醇涂擦治疗后痊愈.其余植入头发生长良好,方向、形态满意,成活率在90％以上.结论 利用针头打孔,显微镊夹持毛干,移植自体单株毛囊种植修复眉缺损,操作方便,效果良好.

abstractsObjective To explore the effect of the transplantation of intact follicle by punching with syringe needle on defect eyebrow reconstruction.Methods Fifty-two patients with eyebrow defects due to burn,trauma,resection and inappropriate eyebrow trimming were recruited,35 with bilateral defects and 17 with unilateral defect.The scalps strips from the safe donor area or temporal region were taken and made into 1 to 2 cm long hair with intact follicle under 3 fold magnifier.The recipient area was punched with 21G or 22G syringe needle.Then the hair shaft was clamped with mi croforceps and the follicles were transplanted to the defective area.Results Folliculitis were found in two burn patients after the transplantation and cured by alcohol inunction.Hairs of the rest patients transplanted grew well.The direction and appearance were satisfied.The survival rate of hair was more than 90 ％.Conclusions It is feasible to restore the partial eyebrow defect by intact follicular transplantation by punching with syringe needle and clamping the hair shaft with microforceps.