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干细胞和富含血小板的血浆在耳鼻喉科、头颈外科手术中的应用。

Implication of stem cells and platelet rich plasma in otolaryngology, head and neck surgical procedures.

机构信息

Department of Otorhinolaryngology, Dr Ziauddin University and Hospital, Karachi.

Department of Otorhinolaryngology, Dr Ziauddin University and Hospital, Karachi, Pakistan.

出版信息

J Pak Med Assoc. 2023 Feb;73(Suppl 1)(2):S56-S61. doi: 10.47391/JPMA.AKUS-09.

Abstract

Human body has a set of unspecialized cells called as stem cells that have the ability to generate cells of specialized function. Volume of fractionated plasma extracted from autologous blood is termed as Platelet-rich plasma (PRP) that is rich in several growth factors. Both have shown effective results in the field of regenerative medicine. Physiologically, platelets are the first cells to concentrate at the site of tissue damage, therefore application of PRP in diverse surgical procedures enhances bone and soft tissue healing; this same phenomenon is currently being used in otology, head and neck flap surgery and yielding miraculous outcomes. The perspective role of stem cells in regenerative medicine is wrapped in its loosely arranged DNA with working genes; a similar concept is being worked upon in different ENT procedures with groundbreaking results. But still, the data is scarce and there is a dire need for clinical trials, and large population-level studies to further formulate the guidelines on basis of proven evidence.

摘要

人体有一组称为干细胞的未分化细胞,具有产生具有特定功能的细胞的能力。从自体血液中分离出的血浆部分的体积称为富含血小板的血浆(PRP),其中富含多种生长因子。两者都在再生医学领域显示出了有效的结果。从生理上讲,血小板是首先集中在组织损伤部位的细胞,因此 PRP 在各种外科手术中的应用可促进骨和软组织的愈合;目前这种现象正在耳科学、头部和颈部皮瓣手术中使用,并产生了奇迹般的效果。干细胞在再生医学中的作用是基于其排列松散的 DNA 和有功能的基因;不同的 ENT 手术也在采用类似的概念,并取得了突破性的结果。但是,数据仍然不足,迫切需要临床试验和大规模的人群水平研究,以进一步根据已证实的证据制定指南。

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