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重复培养的同种异体表皮移植治疗各种原因引起的慢性腿部溃疡。

Repeated cultured epidermal allografts in the treatment of chronic leg ulcers of various origins.

作者信息

Beele H, Naeyaert J M, Goeteyn M, De Mil M, Kint A

机构信息

Department of Dermatology, University Hospital of Gent, Belgium.

出版信息

Dermatologica. 1991;183(1):31-5. doi: 10.1159/000247628.

DOI:10.1159/000247628
PMID:1769412
Abstract

Twelve patients with 16 leg ulcers, existing for at least 3 months and not responsive to conventional inpatient therapy of at least 3 weeks, were treated with repeated applications of cultured allogenic keratinocyte sheets. A marked decrease in size was seen in all ulcers but 2. Complete closure of the ulcer was seen in 62% of the ulcers within 8 weeks. Healing was due to enhanced granulation and increased epithelialization, starting from the periphery of the wound. This edge effect suggests that the epidermal allografts act by stimulation of migration and/or multiplication of the acceptor's keratinocytes, rather than by take of the allograft.

摘要

12例患者共16处腿部溃疡,病程至少3个月,对至少3周的传统住院治疗无反应,接受了培养的同种异体角质形成细胞片的反复应用治疗。除2处溃疡外,所有溃疡面积均显著减小。62%的溃疡在8周内完全愈合。愈合是由于肉芽组织增生增强和上皮化增加,从伤口边缘开始。这种边缘效应表明,表皮同种异体移植通过刺激受体角质形成细胞的迁移和/或增殖起作用,而不是通过同种异体移植的存活。

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Dermatologica. 1991;183(1):31-5. doi: 10.1159/000247628.
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