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血小板浓缩物(PCs)在再生肿瘤泌尿学中的应用:文献系统评价。

Applications of Platelet Concentrates (PCs) in Regenerative Onco-Urology: A Systematic Review of Literature.

机构信息

Department of Precision Medicine in Medical, Surgical and Critical Care, University of Palermo, 90127 Palermo, Italy.

Urology Clinic, Department of Medical, Surgical and Health Sciences, University of Trieste, 34127 Trieste, Italy.

出版信息

Int J Mol Sci. 2024 Oct 4;25(19):10683. doi: 10.3390/ijms251910683.

Abstract

: To assess the effectiveness of Platelet Concentrates (PCs) in the contest of Hemorrhagic, Actinic, and Radiation Cystitis, plus Urethral Obstruction or Stenosis. : Open article in English or Italian regarding in situ applications of PCs for the selected pathologies. : MEDLINE, Cochrane Library, and ELSEVIER. : High (and discussed). : Selection of relevant contents, resumed by digital tools, checked by authors and used throughout the manuscript. : 13 screened articles + 7 personal sources + 37 "extra" articles. : Pre-clinical and clinical studies demonstrated substantial symptom relief, mucosal restoration, and improved growth factor levels, reducing recurrence rates and complications. However, preparation protocols and results varied among studies. : Frequent low-quality studies with mall sample size, plus heterogeneous experimental setups and nomenclature/preparations. : PCs demonstrate promise due to their bioactive components, enhancing tissue repair and reducing inflammation with no significant adverse events. Despite positive outcomes in pre-clinical and clinical studies, variability in preparation protocols and small sample sizes, together with inconsistent results, highlight the need for high-quality research to validate PCs' clinical efficacy and cost-effectiveness.

摘要

: 评估血小板浓缩物(PCs)在治疗出血性、光化性和放射性膀胱炎以及尿道梗阻或狭窄中的疗效。: 检索英文或意大利文关于 PCs 在选定疾病中的局部应用的文章。: MEDLINE、Cochrane 图书馆和 ELSEVIER。: 高(并进行了讨论)。: 选择相关内容,使用数字工具进行总结,由作者进行核对,并在整个手稿中使用。: 筛选出 13 篇文章+7 篇个人来源+37 篇“额外”文章。: 临床前和临床研究表明,PCs 可显著缓解症状、修复黏膜,并提高生长因子水平,降低复发率和并发症。然而,研究之间的制备方案和结果存在差异。: 研究数量少,且质量低,加上实验设置和命名/制剂的异质性。: PCs 具有生物活性成分,有望增强组织修复和减轻炎症,且无明显不良事件。尽管临床前和临床研究结果积极,但制备方案的变异性和样本量小,以及结果不一致,强调需要高质量的研究来验证 PCs 的临床疗效和成本效益。

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