Yuan Ting, Zhang Chang-Qing, Tang Ming-Jie, Guo Shang-Chun, Zeng Bing-Fang
Shanghai Sixth People's Hospital, Shanghai, China; Email:
Wounds. 2009 Oct;21(10):280-5.
Chronic wounds are a frequent problem in developing countries, are often difficult to heal because they lack the necessary growth factors to maintain the healing process, and are frequently complicated by superinfection. Conventional therapies such as dressings, surgical debridement, and even skin grafting cannot provide satisfactory healing since these treatments are not able to provide enough necessary growth factors to modulate the healing process. Platelet-rich plasma (PRP), as a concentrate of platelets, releases a high concentration of multiple growth factors that can modulate healing processes. Furthermore, PRP also contains a high level of leukocytes, which can inhibit infection. PRP has been widely used in many clinical applications. Three patients with large chronic wounds were treated with PRP and achieved good clinical outcomes.
慢性伤口在发展中国家是一个常见问题,由于缺乏维持愈合过程所需的生长因子,常常难以愈合,且经常并发严重感染。诸如敷料、手术清创甚至皮肤移植等传统疗法无法实现令人满意的愈合效果,因为这些治疗无法提供足够的必要生长因子来调节愈合过程。富含血小板血浆(PRP)作为血小板浓缩物,可释放高浓度的多种生长因子,从而调节愈合过程。此外,PRP还含有高水平的白细胞,可抑制感染。PRP已在许多临床应用中广泛使用。三名患有大面积慢性伤口的患者接受了PRP治疗,并取得了良好的临床效果。
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