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生长因子对阴道创面愈合的影响:系统评价和荟萃分析。

The Effect of Growth Factors on Vaginal Wound Healing: A Systematic Review and Meta-analysis.

机构信息

Institute of Molecules and Materials, Radboud University, Nijmegen, The Netherlands.

Department of Urology, Radboud Institute for Molecular Life Sciences, Radboud University Medical Center, Nijmegen, The Netherlands.

出版信息

Tissue Eng Part B Rev. 2023 Aug;29(4):429-440. doi: 10.1089/ten.TEB.2022.0225. Epub 2023 Jun 6.

Abstract

Surgical outcomes of pelvic organ prolapse (POP) surgery are poor, resulting in a 20% recurrence risk. Following the hypothesis that impaired wound healing is the main determinant of recurrent POP, growth factors have the potential to promote wound healing and may improve surgical outcomes. In this study, we systematically reviewed the effect of growth factors on vaginal wound healing in both and animal studies. For each independent comparison, the standardized mean difference and 95% CI were calculated using the Hedges' g correction. Of the 3858 retrieved studies, seven studies were included, of which six were included in meta-analysis (three studies and four studies). , basic fibroblast growth factor (bFGF) promotes proliferation, differentiation, and collagen types I and III production. Epidermal growth factor stimulates proliferation and connective tissue growth factor promotes Tenascin-C expression. These effects, however, are less pronounced ; only bFGF slightly promotes collagen production. The review shows that growth factors, particularly bFGF, are able to promote vaginal wound healing . The uncertain findings suggest that preclinical models should be improved. The ultimate goal is to develop effective growth factor-supplemented therapies that improve surgical outcomes for POP.

摘要

盆腔器官脱垂 (POP) 手术后的手术效果不佳,复发风险为 20%。根据伤口愈合受损是导致 POP 复发的主要决定因素这一假设,生长因子具有促进伤口愈合的潜力,并可能改善手术效果。在这项研究中,我们系统地回顾了生长因子对 和动物研究中阴道伤口愈合的影响。对于每一个独立的比较,使用 Hedges'g 校正计算标准化均数差和 95%置信区间。在检索到的 3858 项研究中,有 7 项研究被纳入,其中 6 项被纳入荟萃分析(3 项 研究和 4 项 研究)。研究表明,碱性成纤维细胞生长因子 (bFGF) 可促进增殖、分化以及 I 型和 III 型胶原的产生。表皮生长因子刺激增殖,结缔组织生长因子促进 Tenascin-C 的表达。然而,这些作用不太明显;只有 bFGF 稍微促进胶原产生。综述表明,生长因子,特别是 bFGF,能够促进阴道伤口愈合。不确定的 结果表明,应改进临床前模型。最终目标是开发有效的生长因子补充治疗方法,以改善 POP 的手术效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dae9/10701546/c67c2f85c4f8/ten.teb.2022.0225_figure1.jpg

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