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[人羊膜在下肢慢性静脉性溃疡治疗中的应用]

[Human amniotic membrane in the management of chronic venous leg ulcers].

作者信息

Tauzin H, Humbert P, Viennet C, Saas P, Muret P

机构信息

UMR 645, IFR 133, faculté de médecine, 19, rue Ambroise-Paré, 25000 Besançon, France.

出版信息

Ann Dermatol Venereol. 2011 Aug-Sep;138(8-9):572-9. doi: 10.1016/j.annder.2011.05.021. Epub 2011 Jun 28.

Abstract

BACKGROUND

The aim of our paper is to examine changes in the use of human amniotic membrane for venous leg ulcers through clinical studies and to present different models of tissue engineering employing human amniotic membrane for the purpose of future therapeutic use in wound healing.

MATERIALS AND METHODS

This review is based on information obtained from a PubMed search using the following keywords "Amnion"[Mesh] AND "Leg Ulcer"[Mesh]; "Amnion"[Mesh] AND "Dermatology"[Mesh]. The selected articles are in English or French and deal with the sole use of human amniotic membrane in venous leg ulcers alone.

RESULTS

Human amniotic membrane has a positive impact on chronic venous leg ulcers by promoting granulation tissue formation, reducing fibrosis and inducing re-epithelialisation. Nevertheless, further randomized clinical studies are needed. At the same time, tissue engineering models using human amniotic membrane may help to reduce wound healing time, thereby creating renewed interest in the use of human amniotic membrane.

CONCLUSION

Considering its properties and the clinical studies analysed, human amniotic membrane could be useful in venous leg ulcer care.

摘要

背景

我们论文的目的是通过临床研究来检验人羊膜在下肢静脉溃疡治疗中的应用变化,并展示使用人羊膜的不同组织工程模型,以便未来用于伤口愈合的治疗。

材料与方法

本综述基于通过使用以下关键词在PubMed数据库检索获得的信息:“羊膜”[主题词] AND “下肢溃疡”[主题词];“羊膜”[主题词] AND “皮肤病学”[主题词]。所选文章为英文或法文,且仅涉及人羊膜单独用于下肢静脉溃疡的研究。

结果

人羊膜通过促进肉芽组织形成、减少纤维化和诱导上皮再形成,对慢性下肢静脉溃疡产生积极影响。然而,仍需要进一步的随机临床研究。同时,使用人羊膜的组织工程模型可能有助于缩短伤口愈合时间,从而重新引发人们对使用人羊膜的兴趣。

结论

考虑到人羊膜的特性及所分析的临床研究,人羊膜可能对下肢静脉溃疡的治疗有用。

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