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[细胞疗法治疗下肢营养性溃疡]

[Cell therapy in treatment of trophic ulcers of lower extremities].

作者信息

Sedov V M, Andreev D Iu, Smirnova T D, Paramonov B A, En'kina T N, Sominina A A, Kiselev O I, Suissi Iu Iu, Lebedev L V

出版信息

Vestn Khir Im I I Grek. 2006;165(2):90-4.

Abstract

The aim of the work was to study the effectiveness of using human embryo fibroblast culture in complex treatment of trophic ulcers of venous etiology in 23 patients with trophic ulcers of lower extremities. The cause of the appearance of ulcers was postthrombophlebitic disease in 16 patients and varicose disease in 7 patients. A control group consisted of 25 patients (postthrombophlebitic disease in 18 patients and varicose disease in 7 patients). The human embryo cell culture grown on the wound cover "Foliderm" was used at the stage of epithelization in the main group, while in the control group the modern alginate, collagen, hydrogel, polyurethane and hydrocolloid covers Suprosorb--Suprosorb A, Suprosorb C, Suprosorb G, Suprosorb F and Suprosorb H were used. Healing of the varicose trophic ulcers in the control group was achieved in 86% of patients, of post-thrombophlebitic--in 78% of patients. The average period of healing was 3.6 and 3.9 months respectively. Healing of trophic ulcers in the main group took place in 100% of patients. The average period of healing was 1.5 week for varicose and 3.2 weeks for postthrombophlebitic ulcers. The cell therapy was shown to be a highly effective method in treatment of venous trophic ulcers.

摘要

这项工作的目的是研究在23例下肢营养性溃疡患者中,使用人胚胎成纤维细胞培养物对静脉性病因的营养性溃疡进行综合治疗的有效性。溃疡出现的原因在16例患者中是血栓形成后疾病,在7例患者中是静脉曲张疾病。对照组由25例患者组成(18例血栓形成后疾病患者和7例静脉曲张疾病患者)。主要组在上皮形成阶段使用生长在伤口敷料“Foliderm”上的人胚胎细胞培养物,而对照组使用现代藻酸盐、胶原蛋白、水凝胶、聚氨酯和水胶体敷料Suprosorb——Suprosorb A、Suprosorb C、Suprosorb G、Suprosorb F和Suprosorb H。对照组中静脉曲张性营养性溃疡的愈合率在86%的患者中实现,血栓形成后溃疡在78%的患者中实现。平均愈合时间分别为3.6个月和3.9个月。主要组中营养性溃疡的愈合在100%的患者中发生。静脉曲张性溃疡的平均愈合时间为1.5周,血栓形成后溃疡为3.2周。细胞疗法被证明是治疗静脉性营养性溃疡的一种高效方法。

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