University Clinic for Plastic and Reconstructive Surgery, Skopje, RN Macedonia.
Institute of Pathophysiology and Nuclear Medicine, RN Macedonia.
Pril (Makedon Akad Nauk Umet Odd Med Nauki). 2021 Apr 23;42(1):127-139. doi: 10.2478/prilozi-2021-0011.
Wound healing is a dynamic and physiological process for restoring the normal architecture and functionality of damaged tissue. Platelet-rich plasma (PRP) is an autologous whole blood product that contains a large number of platelets in a small volume of plasma with complete set of coagulation factors, which are in physiological concentrations. PRP has haemostatic, adhesive properties and acts supraphysiologically in the process of wound healing and osteogenesis. Platelets play a very important role in the wound healing process by providing growth factors that enhance the rate and quality of wound healing by many different mechanisms. The aim of this review is to describe: the biology of platelets and their role in the wound healing process, the terminology of platelet rich products, PRP preparation, activation and concentration of PRP, as well as the use of PRP in plastic surgery.
伤口愈合是一个恢复受损组织正常结构和功能的动态生理过程。富含血小板的血浆 (PRP) 是一种自体全血制品,其中含有大量血小板,体积较小,其中包含完整的凝血因子,且处于生理浓度。PRP 具有止血、黏附特性,并在伤口愈合和成骨过程中超生理发挥作用。血小板通过提供生长因子在伤口愈合过程中起着非常重要的作用,这些生长因子通过多种不同的机制增强伤口愈合的速度和质量。本文综述的目的在于描述:血小板的生物学特性及其在伤口愈合过程中的作用、血小板丰富产物的术语、PRP 的制备、激活和浓缩,以及 PRP 在整形外科学中的应用。