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[严重下肢缺血的细胞治疗(问题与前景)]

[Cell therapy of critical lower limb ischemia (problems and prospects)].

作者信息

Lebedev S V, Karasev A V, Kungurtsev V V, Lokhonina A V, Kleĭmenova E B

出版信息

Vestn Ross Akad Med Nauk. 2013(3):33-44. doi: 10.15690/vramn.v68i3.598.

Abstract

Critical limb ischemia is a syndrome that combines several peripheral artery diseases with different ethiology and pathogenesis but with similar prognosis, high morbidity and mortality. Possibility of surgical and conservative treatment of critical limb ischemia almost completely exhausted. Some hopes have arisen due to progress in cell technology. The article provides a critical analysis of pathogenic prerequisites of stem/progenitor cells for the treatment of patients with a critical limb ischemia in detail the basic results of preclinical and clinical studies on the safety and efficacy of cell technology. Unsolved problems and prospects of practical application are also discussed.

摘要

严重肢体缺血是一种综合征,它合并了几种病因和发病机制不同但预后相似、发病率和死亡率高的外周动脉疾病。严重肢体缺血的手术和保守治疗可能性几乎已被用尽。由于细胞技术的进展,人们产生了一些希望。本文详细批判性分析了干细胞/祖细胞治疗严重肢体缺血患者的致病前提条件、细胞技术安全性和有效性的临床前及临床研究的基本结果。还讨论了未解决的问题及实际应用前景。

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