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曲安奈德与透明质酸酶联合注射富血小板血浆(PRP)治疗口腔黏膜下纤维化(OSMF)的对比研究

Comparative Study of Injection Triamcinolone and Hyaluronidase Combination with Injection Platelet Rich Plasma (PRP) in Management of Oral Submucous Fibrosis (OSMF).

作者信息

Chandrakapure Deepankar, Sachdeva Kavita, Agarwal Kajal, Shukla Amrita

机构信息

Netaji Subhash Chandra Bose Medical College, Jabalpur, MP, Plot No 97, Ayyappa Nagar, Kohka, Bhilai, Durg, CG 490023 India.

Department of ENT, Netaji Subhash Chandra Bose Medical College, Jabalpur, India.

出版信息

Indian J Otolaryngol Head Neck Surg. 2023 Dec;75(4):3725-3732. doi: 10.1007/s12070-023-03912-0. Epub 2023 Jul 19.

Abstract

This study aimed to compare the results of injection triamcinolone and hyaluronidase combination with injection Platelet Rich Plasma (PRP) in management of Oral Submucous Fibrosis (OSMF). Present study was carried out in randomly divided two groups of 30 patients each of OSMF who all are presented with chief complain of reduced mouth opening. Group A patients were given 1 ml of injection triamcinolone and hyaluronidase combination. Group B patients received 1 ml of injection Platelet Rich Plasma. Both injections were given intralesionally once a week for 6 weeks. Results of ANOVA shows significant better results in improving mouth opening in group B patients receiving injection Platelet Rich Plasma as a treatment. In Group A, patients shows improvement in Maximum interincisal distance (MIID) of mean 6.51 ± 1.02 mm as compared to the patients in group B shows improvement in MIID of mean 9.53 ± 1.06 mm ( value < 0.05). Treatment of OSMF with injection Platelet Rich Plasma is a novel method and found to be more efficient than treatment with injection triamcinolone and hyaluronidase combination.

摘要

本研究旨在比较曲安奈德和透明质酸酶联合注射与富血小板血浆(PRP)注射治疗口腔黏膜下纤维化(OSMF)的效果。本研究将30例以张口受限为主诉的OSMF患者随机分为两组。A组患者接受1毫升曲安奈德和透明质酸酶联合注射。B组患者接受1毫升富血小板血浆注射。两组均每周进行1次病灶内注射,共注射6周。方差分析结果显示,接受富血小板血浆注射治疗的B组患者在改善张口度方面效果显著更好。A组患者的最大切牙间距离(MIID)平均改善了6.51±1.02毫米,而B组患者的MIID平均改善了9.53±1.06毫米(P值<0.05)。富血小板血浆注射治疗OSMF是一种新方法,且比曲安奈德和透明质酸酶联合注射治疗更有效。

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