不同性质富血小板血浆对肩袖损伤疗效的研究进展

Research progress on the efficacy of platelet-rich plasma with different properties on rotator cuff injury

关节镜肩袖修复在临床上使用广泛,但修复后的再撕裂现象仍然普遍,因腱骨结合部的特殊结构,从生物增强上促进组织再生开始受到关注。富血小板血浆(platelet-rich plasma,PRP)是超生理浓度的自体血小板成分,对肩袖损伤修复后的愈合有促进作用。然而,因缺乏临床使用标准,并非所有PRP都相同,液体PRP和固体富血小板纤维蛋白之间存在明显差异,很多研究并未对其性质进行区分。该文就不同性质PRP用于肩袖损伤修复的研究进展进行综述,旨在为临床治疗选择提供一定参考。

Arthroscopic rotator cuff repair is widely used clinically, but the phenomenon of re-tear after repair is still common. Due to the special structure of the tendon-bone junction, the promotion of tissue regeneration from the perspective of biological enhancement has attracted attention. Platelet-rich plasma(PRP) is a supraphysiological concentration of autologous platelets, which can promote the healing of rotator cuff injury after repair. However, due to the lack of clinical use standards, not all PRPs are the same, there are clear differences between liquid PRP and solid platelet-rich fibrin, and many studies have not differentiated their properties. This article reviews the research progress of different types of PRP in the repair of rotator cuff injury, aiming to provide some reference for clinical treatment selection.