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富血小板血浆疗法治疗口腔扁平苔藓的疗效:系统评价。

Efficacy of Platelet-Rich Plasma Therapy in Oral Lichen Planus: A Systematic Review.

机构信息

Department of Social and Public Health, Ohio University, Athens, OH 45701, USA.

Department of Oral Medicine and Radiology, Faculty of Dentistry, Jamia Millia Islamia, New Delhi 110025, India.

出版信息

Medicina (Kaunas). 2023 Apr 11;59(4):746. doi: 10.3390/medicina59040746.

Abstract

: Oral lichen planus (OLP) is an autoimmune, mucocutaneous, oral potentially malignant disorder (OPMD), which characteristically manifests with chronic, recalcitrant lesions, with frequent flare-ups and remissions. The precise etiopathogenesis of OLP is still debatable, although it is believed to be a T-cell-mediated disorder of an unidentified antigen. Despite the availability of various treatments, no cure for OLP exists due to its recalcitrant nature and idiopathic etiology. Platelet-rich plasma (PRP) has antioxidant, anti-inflammatory, and immunomodulatory properties, in addition to its regulatory action on keratinocyte differentiation and proliferation. These salient properties substantiate the possible role of PRP in the treatment of OLP. Our systematic review focuses on assessing the therapeutic potential of PRP as a treatment modality in OLP. : We conducted a detailed literature search for studies assessing PRP as a therapeutic regimen in OLP, using the Google Scholar and PubMed/MEDLINE search engines. The search was limited to studies published from January 2000 to January 2023 and included a combination of Medical Subject Heading (MeSH) terms. ROBVIS analysis was carried out for the assessment of publication bias. Descriptive statistics were performed using Microsoft Excel. : This systematic review included five articles that met the inclusion criteria. Most of the included studies demonstrated that PRP treatment considerably ameliorated both objective and subjective symptoms in OLP subjects, with comparable efficacy to the standard corticosteroid treatment. Further, PRP therapy offers the added benefit of minimal adverse effects and recurrences. : This systematic review suggests that PRP has significant therapeutic potential for treating OLP. However, further research with larger sample sizes is imperative to corroborate these findings.

摘要

口腔扁平苔藓(OLP)是一种自身免疫性、黏膜皮肤性、口腔潜在恶性疾病(OPMD),其特征为慢性、难治性病变,常伴有反复发作和缓解。尽管存在各种治疗方法,但由于其难治性和特发性病因,OLP 仍无法治愈。富血小板血浆(PRP)具有抗氧化、抗炎和免疫调节特性,除了对角质形成细胞分化和增殖的调节作用外。这些显著的特性证实了 PRP 在治疗 OLP 中的可能作用。我们的系统评价侧重于评估 PRP 作为 OLP 治疗方法的治疗潜力。

我们使用 Google Scholar 和 PubMed/MEDLINE 搜索引擎对评估 PRP 作为 OLP 治疗方案的研究进行了详细的文献检索。搜索范围限于 2000 年 1 月至 2023 年 1 月发表的研究,并结合了医学主题词(MeSH)。ROBVIS 分析用于评估发表偏倚。使用 Microsoft Excel 进行描述性统计分析。

本系统评价包括符合纳入标准的五篇文章。大多数纳入的研究表明,PRP 治疗可显著改善 OLP 患者的客观和主观症状,其疗效与标准皮质类固醇治疗相当。此外,PRP 治疗的额外益处是不良反应和复发较少。

本系统评价表明,PRP 对治疗 OLP 具有显著的治疗潜力。然而,需要进一步进行更大样本量的研究来证实这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/01df/10146996/074e30a95563/medicina-59-00746-g001.jpg

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