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ENGLISH ABSTRACT
女性雄激素性脱发诊断与治疗中国专家共识(2022版)
中华医学会整形外科学分会女性雄激素性脱发诊断与治疗专家共识编写组
中国女医师协会整形美容专业委员会
作者及单位信息
·
DOI： 10.3760/cma.j.cn114453-20220404-00097
Chinese consensus on the diagnosis and treatment of female androgenetic alopecia(2022)
Chinese Medical Association of Plastic Surgery Experts Group of Chinese Consensus on the Diagnosis and Treatment of Female Androgenetic Alopecia
Plastic & Aesthetic Surgery Committee, China Medical Women’s Association
Zhang Jufang
Wu Wenyu
Authors Info & Affiliations
Chinese Medical Association of Plastic Surgery Experts Group of Chinese Consensus on the Diagnosis and Treatment of Female Androgenetic Alopecia
Plastic & Aesthetic Surgery Committee, China Medical Women’s Association
Zhang Jufang
Department of Medical Cosmetic, Affiliated Hangzhou First People’s Hospital to Zhejiang University School of Medicine, Hangzhou 310006, China
Wu Wenyu
Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China
·
DOI： 10.3760/cma.j.cn114453-20220404-00097
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摘要

女性雄激素性脱发与男性雄激素性脱发在病因、诊断、治疗等方面均有所不同，但目前国内外缺乏针对女性雄激素性脱发的诊断与治疗共识。为了统一女性雄激素性脱发诊断及治疗标准，我国多个学术组织的专家共同启动了女性雄激素性脱发诊断与治疗专家共识的制定。该共识包括女性雄激素性脱发的命名、流行病学、发病机制、临床表现、诊断依据及鉴别诊断要点、脱发分级、诊断流程、治疗方法。基于相关循证医学证据，将共识编写组专家意见汇总，形成推荐意见，为临床医生提供参考。

脱发;女性雄激素性脱发;诊断;治疗;专家共识
ABSTRACT

Female androgenetic alopecia is different from male androgenetic alopecia in etiology, diagnosis and treatment. There is a lack of consensus on the diagnosis and treatment of female androgenetic alopecia. Therefore, some experts from different academic institutions have tried to establish a consensus on the diagnosis and treatment guidelines for patients with female androgenetic alopecia. This consensus includes naming, epidemiology, pathogenesis, clinical features, diagnosis, differential diagnosis, alopecia classification, diagnostic procedures, and treatment methods of female androgenetic alopecia. A literature review and summary of expert’s opinion provide relevant evidence-based recommendations for clinical practitioners.

Alopecia;Female androgenetic alopecia;Diagnosis;Treatment;Expert consensus
Zhang Jufang, Department of Medical Cosmetic, Affiliated Hangzhou First People’s Hospital to Zhejiang University School of Medicine, Hangzhou 310006, China, Email: mocdef.aabnis.pivfujhz
Wu Wenyu, Department of Dermatology, Huashan Hospital, Fudan University, Shanghai 200040, China, Email: nc.defgrabo.nahsauhuynewuw

The authors have no financial interest to declare in relation to the content of this article.

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引用本文

中华医学会整形外科学分会女性雄激素性脱发诊断与治疗专家共识编写组,中国女医师协会整形美容专业委员会. 女性雄激素性脱发诊断与治疗中国专家共识(2022版)[J]. 中华整形外科杂志,2022,38(05)：481-492.

DOI:10.3760/cma.j.cn114453-20220404-00097

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女性雄激素性脱发(female androgenetic alopecia，FAGA)(ICD-10编码：L 64.951 )又称"女性雄激素性秃发""女性型脱发"，是女性常见的脱发类型，主要以渐进性毛囊微小化为临床特征。近年来针对FAGA的病因、发病机制、分级、诊断、鉴别诊断及治疗等方面的诸多研究均表明，FAGA与男性雄激素性脱发(androgenetic alopecia，AGA)有着明显差异。FAGA的诊断及治疗相对更复杂，对患者造成的心理影响更大，但目前有关FAGA的诊疗规范仅在以AGA为主的指南中提及，缺乏其独立的诊疗共识或指南。基于此，专家组在既往FAGA诊疗规范的基础上经充分讨论、修改和补充，制定本版基于循证医学证据的临床诊疗专家共识，以规范和指导FAGA的临床诊疗。
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备注信息
A
张菊芳，浙江大学医学院附属杭州市第一人民医院医学美容科，杭州　310006，Email: mocdef.aabnis.pivfujhz
B
吴文育，复旦大学附属华山医院皮肤科，上海　200040，Email: nc.defgrabo.nahsauhuynewuw
C
《中华整形外科杂志》编辑部在本共识的制定和撰写规范方面给予了全过程的指导，特此鸣谢
D
本文作者与论文刊登的内容无利益关系
E
The authors have no financial interest to declare in relation to the content of this article.
F
国家自然科学基金 (82173442，82103759)
上海毛发医学工程技术研究中心 (19DZ2250500)
上海申康医院发展中心临床三年行动计划 (SHDC2020CR2033B)
上海市科学技术委员会西医引导类项目 (19411962400)
杭州市医学重点学科 (OO20200044)
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