各种肌腱修复临床前治疗方法的现状。

Annals of medicine Pub Date : 2024-12-01 Epub Date: 2024-05-13 DOI:10.1080/07853890.2024.2337871
Wenqing Liang, Chao Zhou, Yongjun Deng, Lifeng Fu, Jiayi Zhao, Hengguo Long, Wenyi Ming, Jinxiang Shang, Bin Zeng
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摘要

肌腱是连接肌肉和骨骼的纤维组织。肌腱损伤分为急性和慢性两种。每种形式的损伤或恶化都会导致明显的疼痛和肌腱功能的丧失。肌腱损伤的恢复是一个复杂而耗时的过程。根据肌腱组织解剖位置的不同,临床结果也不尽相同。伤口的愈合过程分为三个重叠的阶段:炎症、增殖和组织重塑。此外,愈合后的肌腱再撕裂率很高。面对挑战,肌腱损伤的治疗仍然是一个必须尽快解决的临床问题。近年来,肌腱恢复领域出现了一些更新的方向和突破。本文介绍了肌腱损伤,并总结了肌腱恢复的最新进展,以及干细胞疗法、基因疗法、富血小板血浆疗法、生长因子、药物治疗和组织工程学。尽管近年来肌腱恢复治疗方面的研究发展迅速,但仍没有一项研究成果应用于临床。本综述详细概述了肌腱损伤和治疗肌腱损伤的潜在临床前方法。
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The current status of various preclinical therapeutic approaches for tendon repair.

Tendons are fibroblastic structures that link muscle and bone. There are two kinds of tendon injuries, including acute and chronic. Each form of injury or deterioration can result in significant pain and loss of tendon function. The recovery of tendon damage is a complex and time-consuming recovery process. Depending on the anatomical location of the tendon tissue, the clinical outcomes are not the same. The healing of the wound process is divided into three stages that overlap: inflammation, proliferation, and tissue remodeling. Furthermore, the curing tendon has a high re-tear rate. Faced with the challenges, tendon injury management is still a clinical issue that must be resolved as soon as possible. Several newer directions and breakthroughs in tendon recovery have emerged in recent years. This article describes tendon injury and summarizes recent advances in tendon recovery, along with stem cell therapy, gene therapy, Platelet-rich plasma remedy, growth factors, drug treatment, and tissue engineering. Despite the recent fast-growing research in tendon recovery treatment, still, none of them translated to the clinical setting. This review provides a detailed overview of tendon injuries and potential preclinical approaches for treating tendon injuries.

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