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•Surgical therapy is usually introduced when medical or physical treatments
of vitiligo fail.
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•当药物或物理治疗白癜风无效时，常引入 手术治疗。
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•It consists of introducing melanocytes from pigmented skin area onto the white patches of the same
subject.
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•手术包括从患者有色素的皮肤处取自体黑 素细胞植入白斑处。
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•
Many different treatments are available including simple skin punch grafting, split thickness grafting,
blistering, roof grafting and the most sophisticated melanocyte or keratinocyte-melanocyte suspensions.
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•许多不同的治疗方法可行，包括单纯皮肤 打孔移植，皮片移植术，发疱移植，顶部 嫁接，和最尖端的黑素细胞或角质形成细 胞-黑素细胞悬浮液技术。
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• Graft failure, scarring, infection, irregular pigmentation, cobble stoning and the vitiligo kobnerization phenomenon are always possible and limit the use of surgery
in vitiligo.
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•移植失败、疤痕、感染、不规则色沉、鹅 卵石样变和白癜风的同形反应都可能发 生，这些限制了手术治疗的应用。
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•Answer
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•解答
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The surgical option in the treatment of vitiligo
is always possible, at least
on selected/limited depigmented
areas.
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手术治疗白癜风是很有可能的，至少在选择
性/局限性的色素脱失区域是可行的。
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Two main conditions
are required:
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需具备两个主要条件：
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— the white vitiligo lesion to be treated
should be stable (i.e. avoid surgical procedures in lesions which are progressing – no progression of lesions
or appearance of additional depigmentation must be evident
for at least 2 years).
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白癜风皮损需处于稳定期（避免在进展皮损
上进行手术——无皮损进展或新增的色素 脱失斑明显变白至少两年）
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— the white area should be recalcitrant to the main and most effective medical and physiotherapeutic UV-based treatments (lights or
lasers).
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白斑对主要的、最有效的药物治疗和以紫外 线为基础的物理治疗（光、激光）抵抗。
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A number
of surgical procedures are possible. Among
these are the following:
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有许多可行的手术方式，主要如下：
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—
punch grafting and mini-grafting
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—打孔移植和微小移植
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—
epidermal grafting
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—表皮移植
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—
dermo-epidermal grafting
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—真表皮移植
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—
suction blisters grafting
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—负压吸疱移植术
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—autologous melanocyte suspension transplant
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—自体黑素细胞悬浮液移植
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