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富血小板血浆自体移植缩短慢性静脉性腿部溃疡的愈合时间:一项前瞻性观察研究。

Autologous Platelet-Rich Plasma Reduces Healing Time of Chronic Venous Leg Ulcers: A Prospective Observational Study.

机构信息

First Department of General and Vascular Surgery, Second Faculty of Medicine, Warsaw Medical University, Warsaw, Poland.

Department of Orthopedics and Rehabilitation, Warsaw Medical University, Warsaw, Poland.

出版信息

Adv Exp Med Biol. 2019;1176:109-117. doi: 10.1007/5584_2019_388.


DOI:10.1007/5584_2019_388
PMID:31134552
Abstract

The study investigated whether the application of dressings with autologous platelet-rich plasma (PRP) would reduce the healing time in patients with chronic venous leg ulcers. This is a prospective observational study that included 100 patients diagnosed with lower extremity venous insufficiency complicated by ulceration of a leg or foot, who had been after angioplasty of stenotic artery. Patients were divided into two groups of 50 each: treated with PRP (study group) and treated with conventional hydrocolloid dressings (control group). We followed the wound changes at Day 10, Day 20, and Day 30 of treatment and compared them with the baseline appearance at Day 0. We evaluated the appearance, area, and depths of wounds with ultrasound. The granulation process was examined histologically to document skin formation and wound tissue neovascularization. The findings were that treatment with PRP dressings resulted in a significant progressive reduction in ulcer size, irrespective of the ulcer's initial size, compared to treatment with conventional dressings. Further, the best effect of PRP was noticed in the category of largest wounds. After a month of treatment with PRP dressings, more than 50% of all ulcers were completely healed. The young epidermis appeared together with the granulation tissue, and the formation of dermis took shape after 20 days of treatment. We conclude that the use of PRP dressings is a safe, nonsurgical adjunctive procedure for treating chronic venous leg ulcers. The potential benefit of PRP dressings over conventional ulcer treatment requires further in-depth exploration.

摘要

本研究旨在探讨富含自体血小板的敷贴(PRP)的应用是否会缩短慢性静脉性腿部溃疡患者的愈合时间。这是一项前瞻性观察性研究,纳入了 100 例经血管成形术治疗狭窄性动脉后下肢静脉功能不全合并腿部或足部溃疡的患者。患者分为两组,每组 50 例:一组用 PRP(研究组)治疗,另一组用常规水胶体敷贴(对照组)治疗。我们在治疗第 10 天、第 20 天和第 30 天观察伤口变化,并与第 0 天的基线外观进行比较。我们用超声评估伤口的外观、面积和深度。通过组织学检查肉芽组织,记录皮肤形成和伤口组织新生血管形成。结果表明,与常规敷贴治疗相比,PRP 敷贴治疗可显著减少溃疡面积,而与溃疡的初始大小无关。此外,PRP 的最佳效果在最大面积的溃疡中表现最为明显。在 PRP 敷贴治疗一个月后,超过 50%的所有溃疡完全愈合。新生表皮与肉芽组织一起出现,经过 20 天的治疗,真皮形成。我们得出结论,PRP 敷贴是治疗慢性静脉性腿部溃疡的一种安全、非手术的辅助治疗方法。PRP 敷贴相对于常规溃疡治疗的潜在益处需要进一步深入探讨。

相似文献

[1]
Autologous Platelet-Rich Plasma Reduces Healing Time of Chronic Venous Leg Ulcers: A Prospective Observational Study.

Adv Exp Med Biol. 2019

[2]
Autologous platelet-rich plasma versus conventional therapy for the treatment of chronic venous leg ulcers: A comparative study.

J Cosmet Dermatol. 2018-6

[3]
Objective assessment of Platelet-Rich Plasma (PRP) potentiality in the treatment of Chronic leg Ulcer: RCT on 80 patients with Venous ulcer.

J Cosmet Dermatol. 2021-10

[4]
Effectiveness of autologous platelet-rich plasma gel in the treatment of hard-to-heal leg ulcers: a randomised control trial.

J Wound Care. 2019-10-2

[5]
Autologous platelet-rich plasma for treatment of venous leg ulcers: a prospective controlled study.

J Biol Regul Homeost Agents. 2018

[6]
Autologous platelet-rich plasma for treating chronic wounds.

Cochrane Database Syst Rev. 2012-10-17

[7]
Effect of topical application of platelet-rich plasma on chronic venous leg ulcerations.

Dermatol Ther. 2022-2

[8]
Exploratory clinical trial of combination wound therapy with a gelatin sheet and platelet-rich plasma in patients with chronic skin ulcers: study protocol.

BMJ Open. 2015-5-11

[9]
Autologous platelet-rich plasma injection enhances healing of chronic venous leg ulcer: A prospective randomised study.

Int Wound J. 2020-8

[10]
Autologous platelet-rich plasma in the treatment of venous leg ulcers in primary care: a randomised controlled, pilot study.

J Wound Care. 2018-6-1

引用本文的文献

[1]
[Clinical expert consensus on application of topical growth factors in chronic wounds (2025 edition)].

Zhonghua Shao Shang Yu Chuang Mian Xiu Fu Za Zhi. 2025-8-20

[2]
Comparative Study between Platelet-rich Plasma, Platelet-derived Growth Factor Gel, and Normal Saline Dressing in Chronic Ulcer Healing.

Ann Afr Med. 2025-4-1

[3]
The use of platelet-rich plasma in wound healing and vitiligo: A systematic review and meta-analysis.

Skin Res Technol. 2023-9

[4]
Platelet-Rich Plasma in Chronic Wound Management: A Systematic Review and Meta-Analysis of Randomized Clinical Trials.

J Clin Med. 2022-12-19

[5]
Platelet-Rich Plasma: A Comprehensive Review of Emerging Applications in Medical and Aesthetic Dermatology.

J Clin Aesthet Dermatol. 2021-11

[6]
Strategies and challenges in the treatment of chronic venous leg ulcers.

World J Clin Cases. 2020-11-6

[7]
Multipotent adult progenitor cells grown under xenobiotic-free conditions support vascularization during wound healing.

Stem Cell Res Ther. 2020-9-7

[8]
A Novel Nanofiber Hydrogel Loaded with Platelet-Rich Plasma Promotes Wound Healing Through Enhancing the Survival of Fibroblasts.

Med Sci Monit. 2019-11-18

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