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并非所有富血小板血浆都是一样的。

Not all platelet-rich plasma are created equal.

机构信息

IVI Alicante, Centro de Excelencia en Rejuvenecimiento Ovárico, Avenida de Denia, Alicante, Spain.

出版信息

Curr Opin Obstet Gynecol. 2024 Jun 1;36(3):118-123. doi: 10.1097/GCO.0000000000000944. Epub 2024 Feb 5.

DOI:10.1097/GCO.0000000000000944
PMID:38324593
Abstract

PURPOSE OF REVIEW

This review aims to elucidate potential variations in clinical outcomes resulting from the use of different types of platelet-rich plasma (PRPs) in reproductive medicine. It seeks to explore the reasons behind the diverse results reported in various studies and assess the general features distinguishing different PRP formulations.

RECENT FINDINGS

PRPs have found applications across diverse medical fields, generating controversy due to the variability in outcomes. The field of reproductive medicine, despite its limited published studies, is encountering a similar challenge as it integrates these treatments.

SUMMARY

The multitude of PRP product brands in the market, coupled with 'home-made' PRPs, poses a significant barrier to establishing a common protocol for the preparation of standardized PRP products. This impediment hinders widespread adoption by clinicians, particularly in endometrial or ovarian treatments. Drawing from evidence in other medical disciplines, this review endeavors to compile essential characteristics that PRPs must possess, aiming to mitigate the impact of variables affecting results in forthcoming studies.

摘要

目的综述

本综述旨在阐明生殖医学中使用不同类型富血小板血浆(PRP)导致临床结果潜在差异的原因。本文探讨了造成不同研究报告结果多样性的原因,并评估了区分不同 PRP 配方的一般特征。

最近的发现

PRP 在多个医学领域得到了应用,但由于结果的可变性,引起了争议。生殖医学领域,尽管发表的研究有限,但在整合这些治疗方法时也面临着类似的挑战。

总结

市场上PRP 产品品牌众多,再加上“自制”PRP,这给制备标准化 PRP 产品的通用方案带来了重大障碍。这一障碍阻碍了临床医生的广泛采用,特别是在子宫内膜或卵巢治疗方面。本综述借鉴了其他医学学科的证据,努力总结 PRP 必须具备的基本特征,旨在减轻影响未来研究结果的变量的影响。

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1
Not all platelet-rich plasma are created equal.并非所有富血小板血浆都是一样的。
Curr Opin Obstet Gynecol. 2024 Jun 1;36(3):118-123. doi: 10.1097/GCO.0000000000000944. Epub 2024 Feb 5.
2
A narrative review of platelet-rich plasma (PRP) in reproductive medicine.富含血小板血浆(PRP)在生殖医学中的应用:综述
J Assist Reprod Genet. 2021 May;38(5):1003-1012. doi: 10.1007/s10815-021-02146-9. Epub 2021 Mar 15.
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Reprod Biomed Online. 2024 Aug;49(2):103813. doi: 10.1016/j.rbmo.2024.103813. Epub 2024 Jan 9.
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Platelet-rich plasma therapy and reproductive medicine.富血小板血浆治疗与生殖医学。
J Assist Reprod Genet. 2018 May;35(5):753-756. doi: 10.1007/s10815-018-1159-8. Epub 2018 Mar 21.
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Platelet-rich plasma in animal reproductive medicine: Prospective and applications.富血小板血浆在动物生殖医学中的应用:前景与展望。
Reprod Domest Anim. 2022 Nov;57(11):1287-1294. doi: 10.1111/rda.14213. Epub 2022 Aug 1.
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Current knowledge and perspectives for the use of platelet-rich plasma (PRP) and platelet-rich fibrin (PRF) in oral and maxillofacial surgery part 2: Bone graft, implant and reconstructive surgery.目前在口腔颌面外科学中应用富血小板血浆(PRP)和富血小板纤维蛋白(PRF)的知识和观点 第 2 部分:骨移植、种植和重建手术。
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Sustained or higher levels of growth factors in platelet-rich plasma during 7-day storage.在 7 天储存期间,富血小板血浆中的生长因子持续或更高水平。
Clin Chim Acta. 2018 Aug;483:89-93. doi: 10.1016/j.cca.2018.04.027. Epub 2018 Apr 21.
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Effect of intrauterine infusion of platelet-rich plasma for women with recurrent implantation failure: a systematic review and meta-analysis.宫腔内输注富血小板血浆对复发性植入失败女性的影响:一项系统评价和荟萃分析。
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Am J Sports Med. 2015 Dec;43(12):3062-70. doi: 10.1177/0363546515608481. Epub 2015 Oct 15.

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Aging (Albany NY). 2025 Jun 27;17(6):1571-1580. doi: 10.18632/aging.206274.
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Effect of Fixed-Angle and Horizontal Rotor Centrifugation on Optimized Platelet-Rich Plasma Preparation.固定角度和水平转子离心对优化富血小板血浆制备的影响。
Aesthetic Plast Surg. 2025 Jun 2. doi: 10.1007/s00266-025-04941-6.