首页|可注射富血小板纤维蛋白联合2 940 nm激光治疗雄激素性脱发的疗效评价

可注射富血小板纤维蛋白联合2 940 nm激光治疗雄激素性脱发的疗效评价

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目的:探讨可注射富血小板纤维蛋白(i-PRF)与2 940 nm激光治疗雄激素性脱发(AGA)患者的疗效.方法:选取2023年3-12月在武汉大学中南医院皮肤科就诊的AGA患者作为研究对象,将其随机分为治疗组、阳性对照组、阴性对照组,三组患者持续治疗3个月,每月治疗1次.根据Weiss标准,采用毛发镜、头皮超声等评估3组患者治疗前后的临床疗效;并使用问卷调查评估患者主观症状.结果:治疗3个月后,相比于单激光治疗组及激光联合富血小板血浆(PRP)治疗组,i-PRF联合2 940 nm激光治疗组显示出更高的治疗有效率,且毛发密度、平均毛干直径、头皮真皮层厚度、毛囊间距及毛囊内径的改善效果最为显著.结论:i-PRF注射联合2 940 nm点阵激光治疗雄激素性脱发,可促进毛囊生长、减少头皮油脂分泌、降低头皮炎症,临床疗效确切,且安全性好.
Evaluation of the efficacy of injectable platelet-rich fibrin combined with 2 940 nm fractional laser in the treatment of androgenetic alopecia
Objective:To investigate the clinical efficacy of injectable platelet-rich fibrin(i-PRF)and 2 940 nm laser in patients with androgenetic alopecia.Methods:Patients with androgenetic alopecia(AGA)treated in the Department of Dermatology of Zhongnan Hospital of Wuhan University from March to December 2023 were selected as study subjects.They were randomly divided into three groups(treat-ment group,positive control group,and negative control group),and each group continued to be treat-ed for 3 months,once a month.According to the Weiss criteria,clinical efficacy before and after treat-ment was evaluated using trichoscopy and scalp ultrasound in the three groups of patients;a question-naire was used to assess subjective symptom scores.Results:After 3 months of treatment,i-PRF combined with 2 940 nm laser treatment for AGA showed a higher efficacy rate than the single laser treat-ment group and the laser combined with the platelet-rich plasma(PRP)treatment group.Improvements in hair density,average hair shaft diameter,scalp dermal thickness,follicular spacing,and inner diame-ter were most significant in the i-PRF combined laser treatment group.Conclusion:The i-PRF injection combined with 2 940 nm fractional laser treatment for androgenetic alopecia can promote follicle growth,reduce scalp oil secretion,and decrease scalp inflammation,demonstrating clinical efficacy and good safety.

Injectable Platelet-Rich FibrinAndrogenetic Alopecia2 940 nm Fractional Laser

温又霖、谢君、梁嫔、郑永宜、黄竹君、杨超儒、邱懿璎、温鲤键、陈然

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武汉大学中南医院皮肤科 湖北 武汉 430071

嘉善罗星星苑医疗美容门诊部 浙江 嘉兴 314100

苏州姑苏屈新华诊所 江苏 苏州 215000

可注射富血小板纤维蛋白 雄激素性脱发 2 940 nm点阵激光

2024

武汉大学学报(医学版)
武汉大学

武汉大学学报(医学版)

CSTPCD
影响因子:0.959
ISSN:1671-8852
年,卷(期):2024.45(12)