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富血小板血浆治疗男性型脱发

Treatment of Male-Pattern Alopecia with Platelet-Rich Plasma.

作者信息

Okita Aline Lissa, Steiner Denise, Berbert Ferreira Sineida, Müller Ramos Paulo, Ferreira Walter, Silveira Rebecca, Mussi Maria Luiza, Vaidergorn Rafael Eliahu, Berbert Ferreira Rachel

机构信息

Departamento de Dermatologia da Universidade de Mogi das Cruzes, São Paulo, Brazil.

Centro Paranaense de Estudos em Dermatologia, São Paulo, Brazil.

出版信息

Skin Appendage Disord. 2020 Mar;6(2):97-101. doi: 10.1159/000504346. Epub 2019 Dec 18.

Abstract

BACKGROUND

Androgenetic alopecia (AGA) affects up to 80% of men and 50% of women throughout their lifetime, causing significant discomfort. Minoxidil, finasteride, and low-level laser light therapy are the only Food and Drug Administration-approved treatments for AGA, and they have shown positive results in randomized controlled trials and meta-analyses. However, their efficacy is limited, and new therapies are needed. Injection of platelet-rich plasma (PRP), a minimally invasive technique, has been described by several authors as a promising treatment for AGA. Although many studies report beneficial effects of PRP on AGA, there is no standardized practice for PRP preparation and administration or a standard method to evaluate results.

OBJECTIVE

The aim of this study was to evaluate the efficacy of manually prepared PRP in the treatment of male AGA.

MATERIALS AND METHODS

We treated 20 male patients with AGA with 3 monthly injections of PRP and analyzed results by TrichoScan®.

RESULTS

In this study, there was no statistically significant improvement in hair count or proportion of anagen hairs.

CONCLUSIONS

This lack of response could be related to any of the variables during PRP preparation described above and also to the limited number of patients in the study.

摘要

背景

雄激素性脱发(AGA)在男性一生中的发病率高达80%,在女性中为50%,会引起明显不适。米诺地尔、非那雄胺和低能量激光疗法是美国食品药品监督管理局批准的仅有的治疗AGA的方法,并且它们在随机对照试验和荟萃分析中已显示出积极效果。然而,它们的疗效有限,需要新的疗法。注射富血小板血浆(PRP),一种微创技术,已被多位作者描述为一种有前景的AGA治疗方法。尽管许多研究报告了PRP对AGA的有益作用,但PRP的制备和给药没有标准化的操作,也没有评估结果的标准方法。

目的

本研究的目的是评估手工制备的PRP治疗男性AGA的疗效。

材料与方法

我们用PRP每月注射1次,共3次,治疗20例男性AGA患者,并通过毛发检测系统(TrichoScan®)分析结果。

结果

在本研究中,毛发计数或生长期毛发比例没有统计学上的显著改善。

结论

这种无反应可能与上述PRP制备过程中的任何变量有关,也与研究中患者数量有限有关。

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本文引用的文献

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Platelet-rich plasma for androgenetic alopecia: A review of the literature and proposed treatment protocol.
Int J Womens Dermatol. 2018 Sep 21;5(1):46-51. doi: 10.1016/j.ijwd.2018.08.004. eCollection 2019 Feb.
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Effectiveness of Platelet-Rich Plasma for Androgenetic Alopecia: A Review of the Literature.
Skin Appendage Disord. 2018 Jan;4(1):1-11. doi: 10.1159/000477671. Epub 2017 Jun 24.
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Platelet-rich Plasma by Single Spin Process in Male Pattern Androgenetic Alopecia: Is it an Effective Treatment?
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Efficacy of platelet-rich plasma in the treatment of androgenetic (male-patterned) alopecia: A pilot randomized controlled trial.
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