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富血小板纤维蛋白/胶原膜对坐骨神经再生的影响。

Effects of Platelet-Rich Fibrin/Collagen Membrane on Sciatic Nerve Regeneration.

机构信息

Department of Oral and Maxillofacial Surgery, School of Dentistry, Shahid Beheshti University of Medical Sciences.

Faculty of Veterinary Medicine, Department of Surgery and Radiology, University of Tehran, Tehran.

出版信息

J Craniofac Surg. 2021;32(2):794-798. doi: 10.1097/SCS.0000000000007003.

Abstract

Alternative treatment approaches to improve the regeneration ability of damaged peripheral nerves are currently under investigation. The aim of the current study was to evaluate the effects of leucocyte/platelet-rich fibrin (L-PRF) with or without a collagen membrane as a supporter on crushed sciatic nerve healing in a rat model. Recovery of motor function and electrophysiologic measurements were evaluated at 4 weeks postoperatively. The whole number of myelinated axons, peripheral nerve axon density, average nerve fiber diameter (μm), and G-ratio were analyzed and compered among the groups. Functional, electrophysiological, and histological evaluations showed no significant difference among the groups with the exception of the L-PRF with collagen membrane groups that showed relatively positive effects on the functional and histological nerve recovery. In addition, the collagen membrane with L-PRF can be effect in nerve regeneration.

摘要

目前正在研究改善受损周围神经再生能力的替代治疗方法。本研究旨在评估富白细胞/血小板纤维蛋白(L-PRF)联合或不联合胶原膜作为支架对大鼠挤压坐骨神经损伤愈合的影响。术后 4 周评估运动功能恢复和电生理测量。分析并比较各组有髓神经轴突总数、周围神经轴突密度、平均神经纤维直径(μm)和 G 比值。功能、电生理和组织学评估显示各组之间无显著差异,但 L-PRF 联合胶原膜组在功能和组织学神经恢复方面显示出相对积极的效果。此外,胶原膜联合 L-PRF 可能对神经再生有效。

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