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整形手术中干细胞治疗进展的比较分析:当前应用及未来方向的系统评价

A Comparative Analysis of the Advances in Stem Cell Therapy in Plastic Surgery: A Systematic Review of Current Applications and Future Directions.

作者信息

Meretsky Christopher R, Polychronis Andreas, Schiuma Anthony T

机构信息

Surgery, St. George's University School of Medicine, Great River, USA.

General Surgery, St. George's University School of Medicine, Great River, USA.

出版信息

Cureus. 2024 Aug 17;16(8):e67067. doi: 10.7759/cureus.67067. eCollection 2024 Aug.

Abstract

Stem cell (SC) therapy is revolutionizing the field of plastic surgery by harnessing the regenerative abilities of SCs derived from adipose tissue and bone marrow to boost tissue repair and enhance aesthetic outcomes. This groundbreaking method enhances results in procedures such as fat grafting, facial rejuvenation, and wound healing. As studies advance, SC therapy shows potential for more sophisticated uses in both reconstructive and cosmetic surgery. The objective of this review is to comprehensively examine the advances in SC therapy within the field of plastic surgery, highlighting its current applications and exploring future directions. The systematic review was conducted on SC therapy in plastic surgery adhering to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines and specific search criteria. This systematic review highlights these main outcomes, and SC therapy in plastic surgery enhances tissue repair and aesthetic outcomes by utilizing mesenchymal SCs such as adipose-derived SCs (ADSCs) and bone marrow-derived SCs (BMSCs), with platelet-rich plasma (PRP) providing additional support. Techniques such as scaffolds and cellular reprogramming are employed to guide SC growth, enabling tailored tissue engineering for complex regenerative procedures. This innovative approach accelerates healing, reduces scarring in reconstructive surgeries, improves skin texture, and ensures the natural integration of treated areas, ultimately yielding enhanced aesthetic results and transforming facial rejuvenation processes. SC therapy in plastic surgery holds great promise, but challenges such as protocol standardization, cost, and regulations still need to be addressed. SC therapy is leading innovative advancements in plastic surgery, offering superior outcomes and improved quality of life for patients. Interestingly, the future of plastic surgery is focused on integrating SC therapy for personalized and transformative treatments. Furthermore, interdisciplinary collaboration among bioengineers, clinicians, and regulatory bodies is essential for overcoming challenges and advancing SC research into clinical practice.

摘要

干细胞(SC)疗法正在彻底改变整形手术领域,它利用源自脂肪组织和骨髓的干细胞的再生能力来促进组织修复并提升美学效果。这种开创性的方法在脂肪移植、面部年轻化和伤口愈合等手术中提高了效果。随着研究的推进,干细胞疗法在重建手术和美容手术中显示出在更复杂应用方面的潜力。本综述的目的是全面审视整形手术领域中干细胞疗法的进展,突出其当前应用并探索未来方向。按照系统评价和Meta分析的首选报告项目(PRISMA)指南及特定搜索标准,对整形手术中的干细胞疗法进行了系统评价。本系统评价突出了这些主要结果,整形手术中的干细胞疗法通过利用间充质干细胞,如脂肪来源的干细胞(ADSCs)和骨髓来源的干细胞(BMSCs)来增强组织修复和美学效果,富血小板血浆(PRP)提供额外支持。采用支架和细胞重编程等技术来引导干细胞生长,实现针对复杂再生手术的定制组织工程。这种创新方法加速愈合,减少重建手术中的瘢痕形成,改善皮肤质地,并确保治疗区域的自然融合,最终产生增强的美学效果并改变面部年轻化进程。整形手术中的干细胞疗法前景广阔,但仍需解决方案标准化、成本和法规等挑战。干细胞疗法正在引领整形手术的创新进展,为患者提供卓越的效果和更高的生活质量。有趣的是,整形手术的未来专注于整合干细胞疗法以实现个性化和变革性治疗。此外,生物工程师、临床医生和监管机构之间的跨学科合作对于克服挑战并将干细胞研究推进到临床实践至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7269/11404395/70020315e121/cureus-0016-00000067067-i01.jpg

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