中国实用儿科杂志 ›› 2025, Vol. 40 ›› Issue (5): 394-397.DOI: 10.19538/j.ek2025050609

• 专题笔谈 • 上一篇    下一篇

儿童白癜风的外科治疗

  

  1. 复旦大学附属华山医院皮肤科 复旦大学皮肤病研究所,上海  200040
  • 出版日期:2025-05-06 发布日期:2025-08-28
  • 通讯作者: 李剑,电子信箱:li13579_nn@qq.com
  • 基金资助:
    上海市申康市级医院诊疗技术推广及优化管理项目(SHDC22022302)

Surgical treatment of childhood vitiligo

  1. Department of Dermatology,Huashan Hospital of Fudan University,Shanghai  200040,China
  • Online:2025-05-06 Published:2025-08-28

摘要: 儿童白癜风在临床和共病方面有自身特点,在治疗上与成人有相似之处,外科治疗可以作为其他治疗方法无效的稳定期儿童白癜风顽固性白斑的治疗选择,但是要综合评估手术方式的安全性和有效性。常用的手术方法有微小皮片移植、负压吸疱表皮移植、非培养/培养表皮细胞悬液移植、组织工程表皮片移植等,也可以联合微针、激光等治疗。

关键词: 儿童白癜风, 外科治疗, 自体表皮移植, 细胞移植

Abstract: Childhood vitiligo has its own characteristics in clinical and comorbidity aspects,and its treatment is similar to that for adults. Surgical treatment can be used as a treatment option for refractory vitiligo in stable stage children who have no response to other treatment,but the safety and efficacy of the surgical approach should be comprehensively evaluated. The commonly used surgical methods include micro skin graft transplantation,suction blister epidermal graft transplantation,cultured and noncultured cellular suspension transplantation,tissue engineering epidermal graft transplantation,etc. They can also be combined with micro-needling,laser,or other treatments.

Key words: childhood vitiligo, surgical treatment, autologous epidermal transplantation, cell suspension transplantation