LLLT 和 LIPUS 对动物模型和患者骨折愈合效果的比较:系统评价。

Comparison of effects of LLLT and LIPUS on fracture healing in animal models and patients: A systematic review.

机构信息

Department of Cell & Molecular Medicine, Rush University Medical Center, Chicago, IL, USA; Cellular and Molecular Biology Research Center, Department of Biology and Anatomical Sciences, School of Medicine, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Department of Cell & Molecular Medicine, (formerly, Anatomy and Cell Biology), Rush University Medical Center, 1750 W. Harrison St., Suite 1413A, Chicago, IL 60612, USA.

出版信息

Prog Biophys Mol Biol. 2018 Jan;132:3-22. doi: 10.1016/j.pbiomolbio.2017.07.004. Epub 2017 Jul 6.

Abstract

The aim of this paper is to study the in vivo potency of low-level laser therapy (LLLT) and low intensity pulsed ultrasound (LIPUS) alone, accompanied by bone grafts, or accompanied by other factors on fracture healing in animal models and patients. In this paper, we aim to systematically review the published scientific literature regarding the use of LLLT and LIPUS to accelerate fracture healing in animal models and patients. We searched the PubMed database for the terms LLLT or LIPUS and/or bone, and fracture. Our analysis also suggests that both LIPUS and LLLT may be beneficial to fracture healing in patients, and that LIPUS is more effective. These finding are of considerable importance in those treatments with a LIPUS, as a laser device may reduce healing time. The most clinically relevant impact of the LIPUS treatment could be a significant reduction in the proportion of patients who go on to develop a nonunion. If it is confirmed that the therapeutic influence is true and reliable, patients will obtain benefits from LIPUS and LLLT. Further clinical trials of high methodological quality are needed in order to determine the optimal role of LIPUS and LLLT in fracture healing in patients.

摘要

本文旨在研究低水平激光疗法(LLLT)和低强度脉冲超声(LIPUS)单独使用、联合骨移植、或联合其他因素在动物模型和患者中的骨折愈合中的体内疗效。本文旨在系统地综述关于 LLLT 和 LIPUS 在加速动物模型和患者骨折愈合中的应用的已发表科学文献。我们在 PubMed 数据库中检索了 LLLT 或 LIPUS 及/或骨和骨折这两个术语。我们的分析还表明,LIPUS 和 LLLT 都可能对患者的骨折愈合有益,且 LIPUS 的效果更显著。对于接受 LIPUS 治疗的患者来说,这些发现具有重要意义,因为激光设备可以减少愈合时间。LIPUS 治疗最具临床意义的影响可能是大大降低出现骨不连的患者比例。如果证实这种治疗效果真实可靠,患者将从 LIPUS 和 LLLT 中获益。为了确定 LIPUS 和 LLLT 在患者骨折愈合中的最佳作用,还需要进行高质量的临床试验。

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