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富血小板血浆在关节软骨损伤修复中的作用:综述。

Platelet Rich Plasma in the Repair of Articular Cartilage Injury: A Narrative Review.

机构信息

Stem Cell Research & Cellular Therapy Center, Affiliated Hospital of Guangdong Medical University, Zhanjiang, China.

Key Laboratory of Stem Cell and Regenerative Tissue Engineering, Guangdong Medical University, Dongguan, China.

出版信息

Cartilage. 2022 Jul-Sep;13(3):19476035221118419. doi: 10.1177/19476035221118419.

Abstract

OBJECTIVE

This paper reviews the research of platelet-rich plasma (PRP) in articular cartilage injury repair, to assess the mechanism, utilization, and efficacy of PRP in the treatment of articular cartilage injury, hoping to provide a theoretical basis for the clinical application of PRP in the future.

MATERIALS AND METHODS

A comprehensive database search on PRP applications in cartilage repair was performed. Among them, the retrieval time range of PRP in clinical trials of repairing knee cartilage injury was from January 1, 2021 to January 1, 2022. Non-clinical trials and studies unrelated to cartilage injury were excluded.

RESULT

PRP can affect inflammation, angiogenesis, cartilage protection, and cellular proliferation and differentiation after articular cartilage injury through different pathways. In all, 13 clinical trials were included in the analysis.

CONCLUSION

PRP is an emergent therapeutic approach in tissue engineering. Most studies reported that PRP has a positive effect on cartilage injury, improving the joint function, meanwhile there is a lack of standardized standards. The technology of PRP in the repair and treatment of articular cartilage injury is worthy of further research.

摘要

目的

本文综述了富血小板血浆(PRP)在关节软骨损伤修复中的研究,评估 PRP 在治疗关节软骨损伤中的作用机制、应用及疗效,以期为 PRP 在未来的临床应用提供理论依据。

材料与方法

对 PRP 在软骨修复中的应用进行全面的数据库检索。其中,PRP 在修复膝关节软骨损伤的临床试验中的检索时间范围为 2021 年 1 月 1 日至 2022 年 1 月 1 日。排除非临床试验和与软骨损伤无关的研究。

结果

PRP 可通过不同途径影响关节软骨损伤后的炎症、血管生成、软骨保护和细胞增殖分化。共纳入 13 项临床研究进行分析。

结论

PRP 是组织工程学中一种新兴的治疗方法。大多数研究报道 PRP 对软骨损伤有积极作用,改善了关节功能,但缺乏标准化的标准。PRP 在治疗关节软骨损伤中的应用技术值得进一步研究。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1e48/9465610/07753e661c56/10.1177_19476035221118419-fig1.jpg

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