[富血小板血浆治疗腰椎间盘突出症疗效的文献综述]。

Acta ortopedica mexicana Pub Date : 2023-09-01
A L Guerrero-Molina, M G Cruz-Álvarez, S Tenopala-Villegas
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引用次数: 0

摘要

富血小板血浆(PRP)是一种含有生长因子和蛋白质的自体血液制品,临床上广泛用于组织修复。基础科学文献中的大量证据促进了针对椎间盘疾病和腰痛患者的 PRP 临床研究。椎间盘退行性病变(DDD)已被确定为导致下腰部疼痛的一个重要因素,大约 40% 的 30 岁以下患者和 90% 的 50 岁以上腰痛患者的磁共振成像结果显示与椎间盘退行性病变一致。椎间盘内的再生医学主要是针对无法治疗的慢性腰痛患者进行研究的。目的:了解有关 PRP 对腰椎间盘突出症疗效的现有证据。通过了解支持 PRP 治疗腰椎间盘突出症的科学证据,可以制定一个研究项目,为在墨西哥人群中实施这种疗法提供理论基础。我们使用 PUBMED、ClinicalKey (Elsevier)、Medscape、Science Direct 和 Google Scholar 数据库进行了搜索。结论:尽管几项关于椎间盘内注射 PRP 的研究结果令人鼓舞,但样本量小和非标准化的移植物制备程序阻碍了这些研究工作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Bibliographic review of the efficacy of platelet-rich plasma treatment in lumbar disc herniation].

Platelet-rich plasma (PRP) is an autologous blood product containing growth factors and proteins, widely employed in the clinical setting for tissue repair. Robust evidence in basic science literature has facilitated clinical research involving PRP for patients with disc disease and lumbar pain. Degenerative disc disease (DDD) has been identified as a significant contributor to lower back pain, with approximately 40% of patients under 30 and 90% of those over 50 experiencing lumbar pain showing MRI findings consistent with degenerative changes in intervertebral discs. Regenerative medicine within the disc has primarily been studied in patients with chronic, untreatable lumbar pain. Objective: to understand the available evidence regarding the efficacy of PRP in lumbar disc herniation. By understanding the scientific evidence supporting PRP as a lumbar disc herniation treatment, a research project can be developed, providing the theoretical foundation for implementing this therapy in the Mexican population. A search was conducted using PUBMED, ClinicalKey (Elsevier), Medscape, Science Direct, and Google Scholar databases. Conclusions: despite promising results in several studies on intradiscal PRP injection, small sample sizes and non-standardized graft preparation procedures have hindered these research efforts.

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