Perussolo Jeniffer, Calciolari Elena, Dereka Xanthippi, Donos Nikolaos
Centre for Oral Clinical Research, Institute of Dentistry, Faculty of Medicine and Dentistry, Queen Mary University of London, London, UK.
Department of Medicine and Surgery, Dental School, University of Parma, Parma, Italy.
Periodontol 2000. 2025 Feb;97(1):320-341. doi: 10.1111/prd.12572. Epub 2024 Jul 26.
This narrative review evaluates the existing literature on the clinical efficacy and safety of platelet-rich plasma (PRP) and plasma rich in growth factors (PRGFs) in extra-oral wound care, considering their potential benefits and drawbacks. The review specifically focuses on the impact of these treatments on patients' quality of life, pain management, treatment costs, recurrence rates, and potential complications. Given the extensive literature and diverse range of extra-oral wound types in which these autologous platelet concentrates have been applied, this narrative review focuses on the most frequently described wound types, including diabetic foot ulcers, venous leg ulcers, pressure ulcers, surgical wounds, and burns. The use of PRP has been reported in various medical specialties, with a low risk of adverse events. While there is a growing interest in the use of PRGF with promising results, the available literature on this topic is still limited. Only a few studies evaluated patients' perception of the treatment and the relationship between treatment costs and clinical outcomes. Data on recurrence rates and complications also vary across studies. In conclusion, PRP and PRGF show promise as alternatives or as adjunctive therapies to conventional treatments for various extra-oral wounds and ulcers, leading to reduced wound size and accelerated healing time but should be considered on a case-by-case basis, taking into account the type and severity of the wound.
本叙述性综述评估了关于富血小板血浆(PRP)和富含生长因子的血浆(PRGFs)在口腔外伤口护理中的临床疗效和安全性的现有文献,考虑了它们的潜在益处和缺点。该综述特别关注这些治疗对患者生活质量、疼痛管理、治疗成本、复发率和潜在并发症的影响。鉴于已有大量关于这些自体血小板浓缩物应用于多种口腔外伤口类型的文献,本叙述性综述聚焦于最常描述的伤口类型,包括糖尿病足溃疡、下肢静脉溃疡、压疮、手术伤口和烧伤。PRP已在各种医学专科中得到应用,不良事件风险较低。虽然人们对PRGF的使用兴趣日益浓厚且结果颇具前景,但关于该主题的现有文献仍然有限。仅有少数研究评估了患者对治疗的看法以及治疗成本与临床结果之间的关系。不同研究中关于复发率和并发症的数据也有所不同。总之,PRP和PRGF作为各种口腔外伤口和溃疡传统治疗的替代疗法或辅助疗法显示出前景,可使伤口尺寸减小并加速愈合时间,但应根据具体情况,考虑伤口的类型和严重程度来加以考量。
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