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自体脂肪、基质血管成分(SVF)细胞和富含血小板的血浆(PRP)移植治疗萎缩性痤疮瘢痕的细胞疗法:临床评估和生物计量评估。

Transplantation of autologous fat, stromal vascular fraction (SVF) cell, and platelet-rich plasma (PRP) for cell therapy of atrophic acne scars: Clinical evaluation and biometric assessment.

机构信息

Skin and Stem Cell Research Center, Tehran University of Medical Sciences, Tehran, Iran.

Jordan Dermatology and Hair Transplantation Center, Tehran, Iran.

出版信息

J Cosmet Dermatol. 2022 May;21(5):2089-2098. doi: 10.1111/jocd.14333. Epub 2021 Aug 13.

DOI:10.1111/jocd.14333
PMID:34228901
Abstract

BACKGROUND

Scarring is an unfortunate result of acne because it causes the psychological and cosmetic problems for the patients. Unfortunately, no single treatment is suitable, and using multiple methods may have a better result. The autologous fat and stromal vascular fraction (SVF) cells and their secretory factors can enhance the angiogenesis, collagen synthesis, and migration of fibroblasts, therefore regenerate hurt tissues. Moreover, other treatments for acne scarring, such as platelet-rich plasma (PRP), induce the increase in scare.

AIMS

This study aimed to verify the effectiveness of transplantation of autologous fat, SVF cells, and PRP as cell therapy techniques on atrophic acne scars.

PATIENTS/METHODS: This study included 9 adult patients with atrophic acne scars on face. All patients received the transplantation of autologous fat, stromal vascular fraction (SVF) cells, and PRP. The treatment outcome was measured by biometric assessment (VisioFace 1000 D, Colorimeter, multi-probe adapter Cutometer, Tewameter, Mexameter, and skin ultrasound imaging system), and also, the satisfaction of patients was evaluated. The patients were followed 6 months after the treatment.

RESULTS

There was a significant improvement in the skin pores, spots, skin lightness and melanin content of skin, skin elasticity, and TEWL (transepidermal water loss) after 6 months of the treatment. Furthermore, denser skin layers were observed both in the epidermis and in the dermis. Moreover, 66.6% of patients showed good satisfaction after the treatment.

CONCLUSION

In brief, the transplantation of autologous fat, SVF cells, and PRP is an effective cell therapy for atrophic acne scars.

摘要

背景

疤痕是痤疮的一种不幸后果,因为它会给患者带来心理和美容问题。不幸的是,没有单一的治疗方法是合适的,使用多种方法可能会有更好的效果。自体脂肪和基质血管成分(SVF)细胞及其分泌因子可以增强成纤维细胞的血管生成、胶原合成和迁移,从而再生受损组织。此外,其他治疗痤疮疤痕的方法,如富含血小板的血浆(PRP),会引起疤痕增加。

目的

本研究旨在验证自体脂肪、SVF 细胞和 PRP 移植作为细胞治疗技术对萎缩性痤疮疤痕的有效性。

患者/方法:本研究纳入了 9 名面部有萎缩性痤疮疤痕的成年患者。所有患者均接受了自体脂肪、基质血管成分(SVF)细胞和 PRP 的移植。通过生物计量评估(VisioFace 1000 D、比色计、多探头适配器 Cutometer、Tewameter、Mexameter 和皮肤超声成像系统)测量治疗效果,并评估患者的满意度。患者在治疗后 6 个月进行随访。

结果

治疗 6 个月后,皮肤毛孔、斑点、皮肤亮度和黑色素含量、皮肤弹性和经表皮水分流失(TEWL)均有显著改善。此外,表皮和真皮的皮肤层都变得更加致密。此外,66.6%的患者在治疗后表示满意。

结论

总之,自体脂肪、SVF 细胞和 PRP 移植是治疗萎缩性痤疮疤痕的有效细胞疗法。

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