Treatment of vascular leg ulcers with leukocyte- and platelet-rich fibrin (L-PRF): A systematic review.

Phlebology Pub Date : 2024-09-01 Epub Date: 2024-05-23 DOI:10.1177/02683555241256543
Amirali Barzegar Amin, Dries Dorpmans, Hozan Mufty, Inge Fourneau
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Abstract

Objectives: This systematic review aimed to assess the efficacy of Leukocyte- and Platelet-Rich Fibrin (L-PRF) for the treatment of vascular leg ulcers. Method: Following PRISMA guidelines, a literature search was done for studies where L-PRF was used to treat vascular leg ulcers. Results: Among six included articles, a total of 76 venous leg ulcers were treated with L-PRF. None of the studies included ulcers of arterial or lymphatic origin. Fifty-seven (75.0%) of the venous ulcers completely healed at end of follow-up. Mean time to complete healing was 6.7 weeks (SD = 5.0). All non-healed ulcers showed an important reduction in wound area. No adverse effects related to L-PRF therapy were reported. Conclusions: The results suggest that L-PRF could be a safe, simple to use and effective therapeutic option for the treatment of venous leg ulcers, however, caution is advised as the results are based on small sample sizes.

用富含白细胞和血小板的纤维蛋白(L-PRF)治疗血管性腿部溃疡:系统综述。
目的:本系统综述旨在评估富含白细胞和血小板的纤维蛋白(L-PRF)治疗血管性腿部溃疡的疗效。研究方法:根据 PRISMA 指南,对使用 L-PRF 治疗血管性腿部溃疡的研究进行文献检索。结果:在六篇纳入的文章中,共有 76 例静脉性腿部溃疡接受了 L-PRF 治疗。没有一项研究包括动脉或淋巴源性溃疡。57例(75.0%)静脉溃疡在随访结束时完全愈合。完全愈合的平均时间为 6.7 周(SD = 5.0)。所有未愈合的溃疡都显示伤口面积明显缩小。没有与 L-PRF 治疗相关的不良反应报告。结论研究结果表明,L-PRF 是治疗腿部静脉溃疡的一种安全、简便、有效的治疗方法,但由于研究结果基于较小的样本量,因此建议谨慎使用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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