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富血小板血浆在肌肉骨骼疾病治疗中的应用

Platelet rich plasma in treatment of musculoskeletal pathologies.

作者信息

Mehrabani Davood, Seghatchian Jerard, Acker Jason P

机构信息

Burn and Rehabilitaion Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Stem Cell Technology Research Center, Shiraz University of Medical Sciences, Shiraz, Iran; Comparative and Experimental Medicine Center, Shiraz University of Medical Sciences, Shiraz, Iran; Department of Laboratory Medicine and Pathology, Edmonton, AB, Canada.

International Consultancy in Blood Components, Quality/Safety Improvement, Audit/Inspection and DDR Strategies, London, England, United Kingdom.

出版信息

Transfus Apher Sci. 2019 Dec;58(6):102675. doi: 10.1016/j.transci.2019.102675. Epub 2019 Oct 31.

Abstract

Over the past two decades, platelet rich plasma (PRP) has been available as a biological treatment for healing or regeneration of impaired or non-functional tissues. This manuscript highlights PRP application in the treatment of musculoskeletal pathologies. Data in relation to PRP were gathered using PubMed and Medline database from 1994 to 2019, including in vivo animal experiments and clinical studies. PRP appears to promote pain relief and improvement in joint function and it usage has gained popularity for the treatment of musculoskeletal diseases. Nevertheless, limitations in current studies also need to be taken into account in view of the short term effects of PRP therapy and follow-up studies are needed to confirm the long-term efficacy of PRP. Growing interest in the use of this therapeutic modality for the treatment of musculoskeletal diseases gives new opportunities for further clinical studies on the efficacy of this bioproduct, including the more standardised PRP lysate which contains all the active principles of native PRP, and will become highly popular in regenerative medicine.

摘要

在过去二十年中,富血小板血浆(PRP)已作为一种生物疗法用于受损或无功能组织的愈合或再生。本手稿重点介绍了PRP在肌肉骨骼疾病治疗中的应用。使用PubMed和Medline数据库收集了1994年至2019年期间与PRP相关的数据,包括体内动物实验和临床研究。PRP似乎能促进疼痛缓解和关节功能改善,其在肌肉骨骼疾病治疗中的应用越来越普遍。然而,鉴于PRP疗法的短期效果,当前研究的局限性也需要考虑,还需要进行随访研究以确认PRP的长期疗效。对这种治疗方式用于肌肉骨骼疾病治疗的兴趣日益增加,为进一步开展关于这种生物制品疗效的临床研究提供了新机会,包括更标准化的PRP裂解物,其包含天然PRP的所有活性成分,并且将在再生医学中变得非常流行。

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