変形性膝関節症に対するacpの安全性と有効性 scientific …

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Scientific Update 㢌䕎䚍芚ꟼ眍氾חACPך㸜Ⰻ䚍 ה剣⸬䚍 Safety Guide 㢌䕎䚍芚ꟼ眍氾⟃♴ծ芚OA כ䧭➂⚺ך銲ꟼ眍氫䝕ג׃הא♧ך濼ծꅾ氾䏝♧כ菙涸 חכ04ך媮ꥡדKellgren-Lawrenceⴓ겲岀(⟃♴ծ KLⴓ겲)״חגⴓ겲կ㢳過㼭匢 過悃⟃♴ծ PRP כOAךז屚洽ءف ג׃ה岣湡꧊גկ锃侭倯岀 ״חծ PRP כ涯過椔ךזPRP ⟃♴ծ LP-PRP ה涯過椔ךLR-PRP חⴓ겲կ鵚䎃ך灇瑔 כLP-PRP ״חOAך剣劄ז屚洽⸬卓爙ג׃կ Intra-articular autologous conditioned plasma injections provide safe and ecacious treatment for knee osteoarthritis. American Journal of Sports Medicine 2016;44(4):884-891. doi:10.1177/0363546515624678. Ӫ 劤灇瑔ך湡涸כKLⴓ겲2-3ך㢌䕎䚍芚ꟼ眍氾䝕罏חAutologous Conditioned Plasma ⟃♴ACP ך㸜Ⰻ䚍ה剣⸬䚍然דהկ Ӫ 劤灇瑔ךرؽأكכAmerican Journal of Sports Medicine״חك1הⴓ겲גկ Ӫ 屚洽כ2纇חג遤ծACPفכ نإ欰椚굸㞁宏1鹈ח3㔐岣㼗կ Ӫ 劤灇瑔כFDA ״ח鋉㹀؎ س؎ך㛇ծ㹋倵ծ FDAח鏩钠〳㹋植〳腉䚍嗚鎢ך ך⼔䌌⚺㼪屚꿀דկ Ӫ 鄃꿀罏30せכ♧⽃ך倵鏣ぢ搀⡲捀⻉✳ꅾ湦嗚ח涫ꐮծ搀⡲捀חACP( n = 15)欰椚굸㞁宏( n = 15) חלծ1鹈ח3㔐芚ח岣㼗「կ Ӫ ACPꟼ眍ⰻ岣㼗ך㸜Ⰻ䚍ծ剣⸬䚍כח屚洽遤 גծ1鹈ծ2鹈ծ2剢䖓ծ3剢䖓ծ6剢䖓ծ12剢䖓 ח鐰⣣կ剣⸬䚍ך鐰⣣갪湡כWOMACأ،欽կ Results Ӫ ACPחꟼ鸬ⶰ⡲欽ך㜠デזכկ Ӫ ACP䫎♷纇כ䫎♷1鹈䖓3剢䖓דת剣䠐חWOMACأ،幾㼰׃竲ծ12剢䖓⸬דתכ䭯竲 ׃կ Ӫ ACPה欰椚굸㞁宏纇ךWOMACأ،ח窟鎘涸剣䠐䊴כ2鹈湡然钠կ Ӫ 欰椚굸㞁宏纇חWOMACأ،ך何㊣כ屚洽ח׃7חך׃ծ ACPחכג78 何㊣鋅կ Ӫ ך灇瑔 ״חծ ACPכ㸜Ⰻח⢪欽דծ㢌䕎䚍芚ꟼ眍氾חꟼꤐ汤הꟼ眍堣腉ך何㊣חכגACPך倯⮚גה穠锷בկ 劤项俱כ垥鎸锷俑銲秈׃דךկ鑫稢אחכג锷俑ך劤俑׀然钠կ 1 ) Columbia Orthopaedic Group, 1 South Keene Street, Columbia, MO 65201, USA 2) Columbia Orthopaedic Group, Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri, USA. Smith PA 1) 2) Overall WOMAC Score 50 40 30 20 10 0 ACP ف نإ欰椚굸㞁宏 穗麓 屚洽 1鹈䖓 3٠剢䖓 2鹈䖓 6٠剢䖓 2٠剢䖓 12٠剢䖓

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Scientific Update㢌䕎䚍芚ꟼ眍氾ח㼎ACPך㸜Ⰻ䚍ה剣⸬䚍

Safety Guide

㢌䕎䚍芚ꟼ眍氾⟃♴ծ芚OAכ䧭➂ך⚺銲ꟼ眍氫䝕ג׃הא♧ך濼ծꅾ氾䏝כ♧菙涸ך��כח媮ꥡדKellgren-Lawrenceⴓ겲岀⟃♴ծKLⴓ겲㢳ך涯過椔הPRP⟃♴ծLP-PRPז㼰ך涯過椔כծPRP״חկ锃侭倯岀ג꧊岣湡ג׃הءف屚洽ז倜ך芚OAכկ㢳過㼭匢過悃⟃♴ծPRPⴓ겲ג״ח LR-PRPחⴓ겲կ鵚䎃ך灇瑔כLP-PRP״ח芚OAך剣劄ז屚洽⸬卓爙ג׃կIntra-articular autologous conditioned plasma injections provide safe and efficacious treatment for knee osteoarthritis. American Journal of Sports Medicine 2016;44(4):884-891. doi:10.1177/0363546515624678.

Ӫ�劤灇瑔ך湡涸כKLⴓ겲ך���㢌䕎䚍芚ꟼ眍氾䝕罏חAutologous Conditioned Plasma⟃♴ACPկדה然剣⸬䚍ה㸜Ⰻ䚍ך

Ӫ�劤灇瑔כكأرؽךAmerican Journal of Sports Medicineה�ك״חⴓ겲גկӪ�屚洽כ�纇חⴓג遤ծACPنإفכ欰椚굸㞁宏�鹈ח�㔐岣㼗կӪ�劤灇瑔כFDA״ח鋉㹀ך؎س؎㛇ծ㹋倵ծFDAח鏩钠〳㹋植〳腉䚍嗚鎢ךך⼔䌌⚺㼪屚꿀דկ

Ӫ�鄃꿀罏��せךכ⽃♧倵鏣ぢ搀⡲捀⻉✳ꅾ湦嗚ח涫ꐮծ搀⡲捀חACPn����� 欰椚굸㞁宏n�����կ」岣㼗ח�㔐芚חծ�鹈ל鼅ח

Ӫ�ACPꟼ眍ⰻ岣㼗ך㸜Ⰻ䚍ծ剣⸬䚍כ㨣ח屚洽遤גծ�鹈ծ�鹈ծ�剢䖓ծ�剢䖓ծ� 剢䖓ծ��剢䖓ח鐰⣣կ剣⸬䚍ך鐰⣣갪湡כWOMAC،أ欽կ�ResultsӪ�ACPחꟼ鸬ⶰ⡲欽ך㜠デזכկӪ�ACP䫎♷纇כ䫎♷�鹈䖓�剢䖓דת剣䠐חWOMACأ،幾㼰׃竲ծ��剢䖓דת⸬卓כ䭯竲׃կӪ�ACP纇ה欰椚굸㞁宏纇ךWOMACח،أ窟鎘涸剣䠐䊴כ�鹈湡然钠կӪ�欰椚굸㞁宏纇חWOMACך،أ何㊣כ屚洽ח㼎׃�חך㼎׃ծACP纇כגח��何㊣鋅կ

Ӫ�ך灇瑔״חծACPכ㸜Ⰻח⢪欽דծ㢌䕎䚍芚ꟼ眍氾חꟼꤐ汤הꟼ眍堣腉ך何㊣כגחACP纇կב穠锷הג⮚倯ך

劤项俱כ垥鎸锷俑銲秈דך׃կ鑫稢כגאח锷俑ך劤俑׀然钠կ

1 ) Columbia Orthopaedic Group, 1 South Keene Street, Columbia, MO 65201, USA 2) Columbia Orthopaedic Group, Department of Orthopaedic Surgery, University of Missouri, Columbia, Missouri, USA.

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