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自体富血小板血浆输注对卵巢功能恢复的临床益处:一项前后对照前瞻性初步研究的证据

Clinical Benefit of Autologous Platelet-Rich Plasma Infusion in Ovarian Function Rejuvenation: Evidence from a Before-After Prospective Pilot Study.

作者信息

Garavelas Athanasios, Mallis Panagiotis, Michalopoulos Efstathios, Nikitos Eros

机构信息

Institute of Life, IASO Maternity Hospital, 37-39, Kifissias Avenue, 151 23 Athens, Greece.

Hellenic Cord Blood Bank, Biomedical Research Foundation Academy of Athens, 4 Soranou Efessiou Street, 115 27 Athens, Greece.

出版信息

Medicines (Basel). 2023 Feb 27;10(3):19. doi: 10.3390/medicines10030019.

Abstract

: The intraovarian administration of autologous platelet-rich plasma (PRP) acts beneficially for the stimulation of follicle production in women presenting different forms of ovarian dysfunction. This pilot study aimed to evaluate and provide significant data regarding the efficacy of PRP to rejuvenate the ovaries. A total of 253 women aged 22-56 years, were divided into five groups, based on their status. All participants signed for informed consent for the current study. Blood sampling, preparation of PRP and intraovarian infusion of the latter were performed on all participants. The evaluation of PRP efficacy, a two-month follow-up detecting the levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2) and anti-mullerian hormone (AMH), was performed for all participants. For women with advanced ages (>48 years), the restoration and regularity of the menstrual cycle were additionally evaluated. After the two-month follow-up, the majority of the participants presented improvement in their hormonal profiles. Additionally, 17% of the women in this pilot study successfully conceived. The restoration of the menstrual cycle was detected in 15% of the women with advanced ages. Intraovarian infusion of autologous PRP exhibited remarkable evidence and promising results to restore ovarian insufficiency.

摘要

对患有不同形式卵巢功能障碍的女性,经卵巢内给予自体富血小板血浆(PRP)对卵泡生成有有益的刺激作用。这项前瞻性研究旨在评估并提供有关PRP恢复卵巢功能疗效的重要数据。根据状态,将总共253名年龄在22 - 56岁的女性分为五组。所有参与者均签署了本研究的知情同意书。对所有参与者进行了采血、PRP制备以及经卵巢内注入PRP。对所有参与者进行了PRP疗效评估,即为期两个月的随访,检测促卵泡激素(FSH)、促黄体生成素(LH)、雌二醇(E2)和抗苗勒管激素(AMH)的水平。对于年龄较大(>48岁)的女性,还额外评估了月经周期的恢复情况和规律性。经过两个月的随访,大多数参与者的激素水平有所改善。此外,在这项前瞻性研究中,17%的女性成功受孕。在15%的高龄女性中检测到月经周期恢复。经卵巢内注入自体PRP显示出恢复卵巢功能不全的显著证据和有前景的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd80/10056078/61e7539b9b79/medicines-10-00019-g003.jpg

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