富血小板血浆作为骨科的一种新治疗方法

Aleksandra Janocha, Aneta Jerzak, Anna Hitnarowicz, Bożena Kmak, Anna Szot, Agnieszka Pociecha
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摘要

导言和目的富血小板血浆(PRP)疗法是一种通过局部注射自身生物活性物质来加强组织修复的技术,旨在影响炎症、血管生成和细胞外基质合成等生理过程。最近,PRP疗法的使用已成为骨科领域的一个讨论主题。本综述全面探讨了 PRP 在骨科治疗中的机制、当代应用、临床证据、安全性以及未来的潜在发展。研究证明,注射 PRP 能有效实现全面再生,使患者重返竞技体育。与手术相比,PRP 注射可作为患有外侧肌腱炎患者的一种可行的替代治疗方法。有必要进一步研究 PRP 对骨折后骨愈合过程的影响。材料和方法 文献检索的方法包括利用医学主题词来搜索 PubMed。搜索关键词包括"富血浆疗法"、"肌腱病"、"损伤"、"关节软骨"、"骨折" 结论不同证据级别的研究表明,PRP 是安全的,在上述用途中具有有益的效果。由于该疗法的自体性质,副作用极小。在大多数情况下,PRP疗法在短期和长期观察中都能减轻疼痛感,有助于更快地恢复日常功能。不过,预计未来还将进行更多的随机对照临床试验。要取得进一步进展,就必须对制备血浆的方法及其应用程序进行标准化。
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Platelet-rich plasma as a new treatment method in orthopedics
Introduction and purposePlatelet-rich plasma (PRP) therapy represents a technology designed to enhance tissue repair by locally administering one's own bioactive agents, aiming to influence physiological processes like inflammation, angiogenesis, and extracellular matrix synthesis. Recently, the use of PRP therapy has become a subject of discussion in the orthopedic field. This review comprehensively examines the mechanisms, contemporary applications, clinical evidence, safety aspects, and potential future advancements of PRP in orthopedic treatment. Research has documented the efficacy of PRP injections in achieving full regeneration and enabling a comeback to competitive sports. PRP injections could serve as a viable alternative treatment for individuals with lateral tendonitis when compared to surgery. Further research investigating the impact of PRP on the bone healing process following a fracture is warranted. Materials and methods The methodology for conducting literature search involved utilizing medical subject headings terms to explore PubMed. Search terms included: "plasma-rich therapy", "tendinopathy",  "injury" " articular cartilage ", "bone fracture " ConclusionsResearch at different evidence levels has shown that PRP is safe and has beneficial effects in above uses. Due to the autologous nature of the therapy, side effects are minimal. In the majority of cases, PRP therapy alleviates pain sensations in both short- and long-term observations, facilitating a faster return to daily functionality. However, additional randomized, controlled clinical trials are anticipated to be conducted in the future. Progressing further necessitates the standardization of methods for preparing plasma and procedures for its application.
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