Tattoo Removal by Grafting Enzymatically Separated Epidermis
Tattoo Removal by Grafting Enzymatically Separated Epidermis
复制标题
通过酶法分离表皮移植去除纹身
作者：
A. Takushima;M. Okazaki;K. Harii
一种新的纹身去除方法是将酶分离的纹身表皮原位移植到3名患者身上。与传统的皮肤移植手术不同，这种方法完全消除了纹身，没有供体部位的疤痕。1990年，细川和他的同事首次报道了一种类似于所描述的技术，但酶的过程需要连续两天的手术，因此，它没有成为一种既定的程序。细川的方法的修改使作者能够减少酶处理时间到一个小时使用disase。在纹身皮肤暴露于酶溶液之前，使用佩吉特型皮肤切片使其变薄，促进了酶对表皮基底层的渗透。因此，表皮从纹身皮肤分离的时间明显缩短。虽然激光去除仍然是最佳的治疗方法，但对于那些想要在更短的时间内以更少的费用完全消除纹身的患者来说，皮肤移植或其他磨蚀性手术，包括磨皮和冷冻手术，仍然是必要的。在这些患者中，作者建议将他们的手术作为激光切除的替代治疗。李建军，李建军，李建军，等。酶分离表皮嫁接去除刺青的研究进展。Ann Plast外科2001；47:398 - 403
A novel method of tattoo removal in which the enzymatically separated epidermis of an excised tattoo was grafted in situ was applied to 3 patients. Unlike the conventional skin-grafting procedure, this method resulted in the complete obliteration of the tattoos without donor site scars. In 1990, Hosokawa and colleagues first reported a technique similar to the one described, but the enzymatic process required surgery to be performed over two consecutive days and, thus, it did not become an established procedure. A modification of Hosokawa’s method enabled the authors to reduce the enzymatic processing time to an hour using Dispase. The thinning of the tattooed skin using a Paget’s-type dermatome before its exposure to an enzymatic solution facilitated the enzyme’s infiltration of the basal layer of the epidermis. Hence, the time taken for the epidermis to separate from the tattooed skin was markedly shortened. Although laser removal continues to be the optimal treatment method, skin grafting or other abrasive procedures, including dermabrasion and cryosurgery, are still necessary for those patients who want complete tattoo obliteration over a shorter time frame and at less expense. In these patients the authors recommend that their procedure be offered as an alternative treatment to laser removal.Takushima A, Okazaki M, Harii K. Tattoo removal by grafting enzymatically separated epidermis. Ann Plast Surg 2001;47:398–403