Broughton George, Janis Jeffrey E, Attinger Christopher E
Department of Plastic Surgery, Nancy L and Perry Bass Advanced Wound Healing Laboratory, University of Texas Southwestern Medical Center, Dallas, Texas 75390-9132, USA.
Plast Reconstr Surg. 2006 Jun;117(7 Suppl):12S-34S. doi: 10.1097/01.prs.0000225430.42531.c2.
Understanding wound healing today involves much more than simply stating that there are three phases: "inflammation, proliferation, and maturation." Wound healing is a complex series of reactions and interactions among cells and "mediators." Each year, new mediators are discovered and our understanding of inflammatory mediators and cellular interactions grows. This article will attempt to provide a concise report of the current literature on wound healing by first reviewing the phases of wound healing followed by "the players" of wound healing: inflammatory mediators (cytokines, growth factors, proteases, eicosanoids, kinins, and more), nitric oxide, and the cellular elements. The discussion will end with a pictorial essay summarizing the wound-healing process.
如今,对伤口愈合的理解远不止简单地指出存在三个阶段:“炎症、增殖和成熟”。伤口愈合是细胞与“介质”之间一系列复杂的反应和相互作用。每年都会发现新的介质,我们对炎症介质和细胞相互作用的理解也在不断加深。本文将首先回顾伤口愈合的阶段,然后介绍伤口愈合的“参与者”:炎症介质(细胞因子、生长因子、蛋白酶、类花生酸、激肽等)、一氧化氮和细胞成分,试图对当前有关伤口愈合的文献进行简要报告。讨论将以一篇总结伤口愈合过程的图片文章结束。