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通过一种新型的富血小板血浆激活和给药方式治疗有生育要求的薄型子宫内膜:一项干预性前瞻性队列临床研究。

Treating refractory thin endometrium through a novel way of activation and administration of Platelet-rich plasma in sexually active women: An interventional prospective cohort clinical study.

机构信息

University Hospital of Obstetrics and Gynecology in Damascus, Damascus, Syrian Arab Republic.

Children's Hospital Damascus, Damascus, Syrian Arab Republic.

出版信息

Medicine (Baltimore). 2024 Jun 14;103(24):e38554. doi: 10.1097/MD.0000000000038554.

Abstract

A prospective cohort study investigated the effectiveness of platelet-rich plasma (PRP) infusion for refractory thin endometrium in 38 infertile patients. Patients showed significant improvement in endometrial thickness post-PRP injection, leading to successful implantation and pregnancy. The study revealed a negative correlation between antimullerian hormone (AMH) levels and the need for PRP interventions, suggesting higher ovarian reserve may reduce the necessity for repeated treatments. This implies AMH levels could serve as a prognostic indicator for treatment outcomes, aiding clinicians in optimizing protocols and reducing patient burden. Further research is needed to confirm these findings in larger and more diverse populations, along with exploring long-term reproductive success rates post-PRP treatment.

摘要

一项前瞻性队列研究调查了富血小板血浆(PRP)输注治疗 38 例难治性薄型子宫内膜的效果。患者在 PRP 注射后子宫内膜厚度明显改善,导致成功着床和妊娠。研究表明,抗苗勒管激素(AMH)水平与 PRP 干预的需求呈负相关,这表明较高的卵巢储备可能会减少重复治疗的必要性。这意味着 AMH 水平可以作为治疗结果的预后指标,帮助临床医生优化方案并减轻患者负担。需要进一步的研究来在更大和更多样化的人群中证实这些发现,并探讨 PRP 治疗后的长期生殖成功率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f5e1/11175857/8a6fc5f1c3a2/medi-103-e38554-g001.jpg

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