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富血小板血浆治疗退行性腰骶部狭窄:一项针对退役工作犬的研究

Platelet-Rich Plasma for the Treatment of Degenerative Lumbosacral Stenosis: A Study with Retired Working Dogs.

作者信息

Hernández-Guerra Ángel María, Carrillo José María, Sopena Joaquín Jesús, Vilar José Manuel, Peláez Pau, Cuervo Belén, Santana Angelo, Rubio Mónica

机构信息

Departamento de Medicina y Cirugía Animal, Facultad de Veterinaria, Universidad Cardenal Herrera-CEU, CEU Universities, 46115 Valencia, Spain.

Department of Animal Pathology, Instituto Universitario de Investigaciones Biomédicas y Universitarias, Universidad de Las Palmas de Gran Canaria, Trasmontaña S/N, 35416 Arucas, Spain.

出版信息

Animals (Basel). 2021 Oct 14;11(10):2965. doi: 10.3390/ani11102965.


DOI:10.3390/ani11102965
PMID:34679984
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8532889/
Abstract

Traditionally, canine degenerative lumbosacral stenosis (DLS) has been defined as a multifactorial syndrome characterized by lumbosacral pain triggered by the compression of the nerve rootlets of the cauda equina. There is still no consensus on the treatment of this condition, probably because there are a plethora of possible causes. In addition to compression, inflammation is a very important factor in the physiopathology of the disorder. Platelet-rich plasma (PRP) consists of an increased concentration of autologous platelets suspended in a small amount of plasma. Platelets are a source of several growth factors. Growth factors were shown to help in wound healing and biological processes, such as chemotaxis, neovascularization and synthesis of extracellular matrix, and growth factors were used to improve soft tissue healing and bone regeneration. PRP also facilitates the restoration of the structural integrity of the affected anatomy. Fourteen dogs diagnosed with DLS were treated with three epidural injections of PRP on days 0, 15 and 45. All dogs showed clinical improvement 3 months after the initial treatment. Gait was also objectively assessed by means of the use of force platform analysis before and after treatment, showing significant improvement. The results show that PRP may provide a good alternative to other nonsurgical treatments, such as prednisolone epidural injection.

摘要

传统上,犬退行性腰椎管狭窄症(DLS)被定义为一种多因素综合征,其特征是马尾神经根受压引发腰骶部疼痛。对于这种病症的治疗仍未达成共识,可能是因为存在众多可能的病因。除了压迫之外,炎症在该病症的病理生理学中也是一个非常重要的因素。富血小板血浆(PRP)由悬浮在少量血浆中的自体血小板浓度增加组成。血小板是多种生长因子的来源。生长因子已被证明有助于伤口愈合和生物过程,如趋化作用、新血管形成和细胞外基质合成,并且生长因子被用于改善软组织愈合和骨再生。PRP还促进受影响解剖结构的结构完整性恢复。14只被诊断为DLS的犬在第0天、第15天和第45天接受了三次硬膜外注射PRP治疗。所有犬在初始治疗3个月后均显示出临床改善。治疗前后还通过使用测力平台分析对步态进行了客观评估,结果显示有显著改善。结果表明,PRP可能为其他非手术治疗方法,如泼尼松龙硬膜外注射,提供一个良好的替代方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/624877733557/animals-11-02965-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/c6c8178c0259/animals-11-02965-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/f0d5d72545ae/animals-11-02965-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/624877733557/animals-11-02965-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/c6c8178c0259/animals-11-02965-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/f0d5d72545ae/animals-11-02965-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/654f/8532889/624877733557/animals-11-02965-g003.jpg

相似文献

[1]
Platelet-Rich Plasma for the Treatment of Degenerative Lumbosacral Stenosis: A Study with Retired Working Dogs.

Animals (Basel). 2021-10-14

[2]
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J Orthop Surg Res. 2019-9-18

[4]
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[5]
Force plate analysis before and after dorsal decompression for treatment of degenerative lumbosacral stenosis in dogs.

Vet Surg. 2005

[6]
Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies.

Vet Med (Auckl). 2019-11-19

[7]
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[8]
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[9]
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J Oral Maxillofac Surg. 2006-3

[10]
[Cauda equina compression syndrome (CECS): retrospective study of surgical treatment with partial dorsal laminectomy in 86 dogs with lumbosacral stenosis].

Berl Munch Tierarztl Wochenschr. 2004

引用本文的文献

[1]
Preliminary evaluation of an indwelling epidural catheter for repeat methylprednisolone administration in canine lumbosacral stenosis.

Can Vet J. 2024-5

[2]
The autologous chondral platelet-rich plasma matrix implantation. A new therapy in cartilage repair and regeneration: macroscopic and biomechanical study in an experimental sheep model.

Front Vet Sci. 2023-12-11

[3]
Owner assessed outcomes following elbow arthroscopy with or without platelet rich plasma for fragmented medial coronoid process.

Front Vet Sci. 2022-8-2

[4]
Platelet Lysate for Mesenchymal Stromal Cell Culture in the Canine and Equine Species: Analogous but Not the Same.

Animals (Basel). 2022-1-13

本文引用的文献

[1]
Corneal Ulcer in Dogs and Cats: Novel Clinical Application of Regenerative Therapy Using Subconjunctival Injection of Autologous Platelet-Rich Plasma.

Front Vet Sci. 2021-3-18

[2]
Chronic pain and gait analysis in dogs with degenerative hip joint disease treated with repeated intra-articular injections of platelet-rich plasma or allogeneic adipose-derived stem cells.

J Vet Med Sci. 2021-6-2

[3]
Single dose epidural methylprednisolone as a treatment and predictor of outcome following subsequent decompressive surgery in degenerative lumbosacral stenosis with foraminal stenosis.

Vet J. 2020-3-30

[4]
Canine Degenerative Lumbosacral Stenosis: Prevalence, Impact And Management Strategies.

Vet Med (Auckl). 2019-11-19

[5]
Assessment of the Efficacy of Platelet-Rich Plasma in the Treatment of Traumatic Canine Fractures.

Int J Mol Sci. 2019-3-1

[6]
Platelet-rich plasma: myth or reality?

Radiologia (Engl Ed). 2018

[7]
Long-term outcome following lateral foraminotomy as treatment for canine degenerative lumbosacral stenosis.

Vet Rec. 2018-9-22

[8]
Platelet-Released Growth Factors Modulate the Secretion of Cytokines in Synoviocytes under Inflammatory Joint Disease.

Mediators Inflamm. 2017-11-19

[9]
Platelet Rich Plasma: New Insights for Cutaneous Wound Healing Management.

J Funct Biomater. 2018-1-18

[10]
Optimisation of platelet concentrates therapy: Composition, localisation, and duration of action.

Asia Pac J Sports Med Arthrosc Rehabil Technol. 2017-1-30

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