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富血小板血浆治疗椎间盘退变:从基础研究到临床应用

马良彧 王善正 郭玉冬 陈翔溆 俞佳斌 贾军 王宸

中国组织工程研究2017,Vol.21Issue(32):5215-5220,6.
中国组织工程研究2017,Vol.21Issue(32):5215-5220,6.DOI:10.3969/j.issn.2095-4344.2017.32.022

富血小板血浆治疗椎间盘退变:从基础研究到临床应用

Platelet-rich-plasma for intervertebral disc degeneration: from bench to bedside

马良彧 1王善正 2郭玉冬 2陈翔溆 2俞佳斌 1贾军 1王宸2

作者信息

  • 1. 东南大学医学院,江苏省南京市 210009
  • 2. 东南大学附属中大医院骨科,江苏省南京市 210009
  • 折叠

摘要

Abstract

BACKGROUND: Intervertebral disc degeneration (IDD) is a common cause of low back pain. Microenvironmental and cytological changes of intervertebral disc are main factors inducing disc degeneration. However, the underlying mechanism still remains unclear.OBJECTIVE: To review the application of platelet rich plasma (PRP) in the treatment of IDD.METHODS: First, the article structure was designed, and then WanFang and CNKI databases were retrieved for related articles using Chinese and English keywords. After analyzing the abstract and main body, the eligible articles were enrolled according to the inclusion and exclusion criteria.RESULTS AND CONCLUSION: Surgical treatment has achieved remarkable outcomes in the treatment of middle- and late-stage IDD. However, there is still no good conservative therapy for early degeneration. PRP has been extensively applied in the treatment of IDD due to its improvement in tissue healing and regeneration. PRP has been proved to be capable of effectively delaying and even reversing IDD through cytology tests and animal experiments. Some clinical trials have shown that PRP treatment can ease low back pain, while others have demonstrated that the combination of PRP and other biological treatments can significantly improve IDD. Nowadays, most of the experiments are limited in the study of cytology and zoology rather than clinical trials, and there is still no unified standard for extraction method, dose and optimal injection time of PRP. Moreover, there is little reported on its side effects. Consequently, the curative effect of PRP for IDD needs to be verified further.

关键词

组织构建/组织工程/富血小板血浆/椎间盘退变/髓核细胞/国家自然科学基金

分类

医药卫生

引用本文复制引用

马良彧,王善正,郭玉冬,陈翔溆,俞佳斌,贾军,王宸..富血小板血浆治疗椎间盘退变:从基础研究到临床应用[J].中国组织工程研究,2017,21(32):5215-5220,6.

基金项目

国家自然科学基金(81572188) (81572188)

the National Natural Science Foundation of China,No. 81572188 ()

中国组织工程研究

OA北大核心CSTPCD

2095-4344

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