Yotsu Rie R, Hagiwara Shotaro, Okochi Hitoshi, Tamaki Takeshi
Department of Dermatology, National Center for Global Health and Medicine, Tokyo, Japan; Department of Dermatology, National Suruga Sanatorium, Shizuoka, Japan.
J Dermatol. 2015 Mar;42(3):288-95. doi: 10.1111/1346-8138.12777. Epub 2015 Jan 23.
Treatment for patients with chronic wounds is entering a new era, and autologous platelet-rich plasma (PRP) is among the most promising treatments. PRP contains a concentration of platelets obtained by centrifuging the patient's blood. Because it contains fibrin and high concentrations of growth factors, PRP is known to promote wound healing. In this study, we present five patients with chronic foot ulcers successfully treated with PRP in our institution. The patients had various underlying diseases: diabetes (n = 2), peripheral arterial disease (n = 1), both diabetes and peripheral arterial disease (n = 1), and cutaneous polyarteritis nodosa (n = 1). Also, we provide a description of PRP's mechanisms, advantages, and limitations.
慢性伤口患者的治疗正在进入一个新时代,自体富血小板血浆(PRP)是最有前景的治疗方法之一。PRP含有通过离心患者血液获得的浓缩血小板。由于它含有纤维蛋白和高浓度的生长因子,PRP已知可促进伤口愈合。在本研究中,我们展示了在我们机构中用PRP成功治疗的五例慢性足部溃疡患者。这些患者有各种基础疾病:糖尿病(n = 2)、外周动脉疾病(n = 1)、糖尿病和外周动脉疾病两者皆有(n = 1)以及皮肤结节性多动脉炎(n = 1)。此外,我们还描述了PRP的作用机制、优点和局限性。