从口腔外科角度看,哪些因素会影响伤口愈合过程?综述

Salvatore Luca La Terra
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引用次数: 0

摘要

伤口愈合是一个复杂而动态的过程,涉及一系列错综复杂的调节阶段,每个阶段都有助于恢复组织的完整性。本综述深入探讨了伤口愈合的基本问题,探讨了伤口愈合的生理机制、阶段和影响因素。综述从描述伤口愈合的意义开始,依次介绍了止血和炎症、增殖、重塑、伤口分类和闭合技术等阶段,从而为临床上采用的各种策略提供了深入的见解。该书的重点在于骨愈合,探讨了原发性和继发性愈合机制,以及拔牙窝的骨愈合。综述的很大一部分内容探讨了影响伤口愈合的因素,这些因素分为局部因素、手术因素和全身因素,其中包括年龄增长、糖尿病、激素变化、免疫力低下、药物、吸烟、饮酒、肥胖和营养不良。综述了所审查的内容,强调了这些因素在 "伤口愈合 "过程中的相互作用。临床医生和研究人员必须了解这些因素,才能根据患者的不同需求制定有效的治疗干预措施。这篇综述为寻求全面了解人体伤口愈合的复杂动态的人士提供了宝贵的资源。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
What Factors can have an impact on the wound Healing Process from an oral surgery perspective? A Review
Wound healing is a complex and dynamic process that involves a series of intricately regulated phases, each contributing to the restoration of tissue integrity. This comprehensive review dives into the fundamental aspects of wound healing, exploring the physiological mechanisms, phases, and influencing factors. The review begins with describing the significance of wound healing and navigates through sequential phases, such as hemostasis and inflammation, proliferation, remodelling, wound classification and closure techniques, thus providing insights into the diverse strategies employed in clinical settings. Much focus lies to bone healing, addressing both primary and secondary healing mechanisms, as well as the bone healing in extraction sockets. A significant segment of the review explores the factors affecting wound healing, which are categorized into local, surgical, and systemic factors encompassing ageing, diabetes mellitus, hormonal changes, immunocompromised conditions, medications, smoking, alcohol consumption, obesity, and nutrition deficiency. A synthesis of the reviewed content highlights the interplay of these factors in the ‘wound healing’ process. Understanding these elements is imperative for clinicians and researchers alike to develop effective therapeutic interventions tailored to individual patient needs. This review serves as a valuable resource for those seeking a comprehensive understanding of the intricate dynamics of wound healing in the human body.
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