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富血小板纤维蛋白作为一种组织工程材料促进大鼠骨缺损愈合的系统评价和Meta分析

Platelet-rich fibrin as a tissue engineering material in accelerate bone healing in rat bone defects: A systematic review and meta-analysis.

作者信息

Idulhaq Mujaddid, Mudigdo Ambar, Utomo Pamudji, Wasita Brian, Warman Fanny Indra

机构信息

Doctorate Program of Medical Sciences, Faculty of Medicine, Universitas Sebelas Maret, Surakarta, Indonesia.

Department of Orthopedic & Traumatology Faculty of Medicine, Universitas Sebelas MaretRSUD Dr. Moewardi / RSO Prof Dr. R Soeharso, Surakarta, Indonesia.

出版信息

Ann Med Surg (Lond). 2022 Nov 19;84:104869. doi: 10.1016/j.amsu.2022.104869. eCollection 2022 Dec.

Abstract

INTRODUCTION

Various techniques for tissue engineering have been introduced to help regenerate damaged or lost bone tissue. This study aimed to see the potential implication of platelet-rich fibrin (PRF) to accelerate the bone healing process in rat bone defects.

METHODS

A systematic literature search was conducted from several electronic databases on subjects looking at the use of PRF in rat bone defects and their results in bone regeneration. Specific results compared PRF vs. other methods, PRF vs. control, and PRV vs. combination PRF and other methods. Science Direct, PubMed, and Cochrane Library were the main information sources. The Cochrane Collaboration method is employed to assess the risk of bias.

RESULTS

A total of 483 rats were used in the twelve studies, and this meta-analysis showed that the PRF vs. other methods pooled odds ratio (OR) obtained was 0.92 (95% CI 0.42-2.04; p = 0.29; I = 18%), PRF versus control OR obtained 9.45 (95% CI 4.68-19.08; P = 0.01; I = 0%), the combination of PRF compared to PRF alone OR obtained 0.12 (95% CI 0.03-0.41; p = 0.01; I = 0%).

DISCUSSION

Platelet-rich fibrin accelerates the bone healing process in rat bone defects compared to physiologically. Platelet-rich fibrin combined with other methods can stimulate rat bone defects than utilization of platelet-rich fibrin only. The small number of articles assessed may cause limitations in sensitivity tests. This study was registered in the research registry (reviewregistry1341).

摘要

引言

已引入多种组织工程技术来帮助再生受损或缺失的骨组织。本研究旨在探讨富血小板纤维蛋白(PRF)在加速大鼠骨缺损愈合过程中的潜在作用。

方法

从多个电子数据库中进行了系统的文献检索,主题为PRF在大鼠骨缺损中的应用及其骨再生结果。具体结果比较了PRF与其他方法、PRF与对照组,以及PRF与PRF和其他方法联合使用的情况。科学Direct、PubMed和Cochrane图书馆是主要信息来源。采用Cochrane协作方法评估偏倚风险。

结果

12项研究共使用了483只大鼠,该荟萃分析表明,PRF与其他方法的合并优势比(OR)为0.92(95%CI 0.42 - 2.04;p = 0.29;I = 18%),PRF与对照组的OR为9.45(95%CI 4.68 - 19.08;P = 0.01;I = 0%),PRF与PRF单独使用相比的联合使用的OR为0.12(95%CI 0.03 - 0.41;p = 0.01;I = 0%)。

讨论

与生理状态相比,富血小板纤维蛋白可加速大鼠骨缺损的愈合过程。富血小板纤维蛋白与其他方法联合使用比仅使用富血小板纤维蛋白更能刺激大鼠骨缺损。评估的文章数量较少可能导致敏感性测试存在局限性。本研究已在研究注册库(reviewregistry1341)中注册。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e2b6/9732119/2866ce12ff00/gr1.jpg

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