目的:探究尿源性干细胞(USCs)在泌尿系统损伤与对其它系统的影响作用及其在组织工程方面的应用潜力。方法:以“尿源性干细胞”为关键词进行文献搜索,分析总结其生物学特性,包括增值能力和多向分化潜能以及对损伤修复的机制,评估USCs在泌尿系统损伤修复和其他领域的应用可能性。结果:尿源性干细胞具有间充质干细胞的生物学特性,并具有简单取材与较强的增值和多向分化能力。研究显示USCs可能起源于肾脏,可以通过释放外泌体与多种细胞因子等对泌尿系统损伤的进行修复,对再生医学与组织工程的研究提供了理想的“种子细胞”。结论:国内外大量研究表明尿源性干细胞的研究前景广阔,其在多个领域的应用潜力巨大,特别是在泌尿系统损伤修复方面,USCs显示出重要的研究价值和临床应用的潜力。Objective: To investigate the effects of urogenic stem cells (USCs) on urinary system injury and other systems and their potential application in tissue engineering. Methods: Using “urogenic stem cells” as the keyword, the literature search was conducted to analyze and summarize their biological characteristics, including the value-added ability, multi-differentiation potential and the mechanism of injury repair, so as to evaluate the application possibility of USCs in the repair of urinary system injury and other fields. Results: The urine-derived stem cells had the characteristics of mesenchymal stem cells, simple sampling and strong ability of multiplication and multidirectional differentiation. Studies have shown that USCs may originate in the kidney and can repair the damage of the urinary system by releasing exosomes and a variety of cytokines, providing an ideal “seed cell” for the research of regenerative medicine and tissue engineering. Conclusion: A large number of studies at home and abroad show that the research prospect of urogenic stem cells is broad, and their application potentia
目的评价加速康复外科(ERAS)在双平面机器人辅助经皮骶髂关节螺钉固定治疗骶骨骨折中的临床效果。方法选取2018年12月至2020年12月内蒙古医科大学附属医院采用双平面机器人辅助经皮骶髂关节螺钉固定治疗的24例骶骨纵形骨折患者作为研究对象,随机分为ERAS组与常规组(n=12),其中常规组采取常规围手术期管理模式,ERAS组在常规管理基础上实施ERAS精细化围手术期管理方案,对两组患者围手术期指标、影像学结果和疗效指标进行对比分析。结果对两组患者螺钉置入位置进行影像学检查(X线、CT扫描),均达到满意程度;Matta影像评分两组相近(P>0.05)。ERAS组术后2 d疼痛视觉模拟量表评分、术后3 d Braden压疮评分和末次随访Majeed评分均优于常规组,住院时间短于常规组,两组比较,差异具有统计学意义(P<0.05)。结论在机器人辅助经皮骶髂关节螺钉固定围手术期管理中运用ERAS理念,疼痛缓解更加有效、压疮风险更低、住院时间更短,更有利于骶骨骨折患者术后骨盆功能恢复,可在脊柱外科机器人手术中推广和应用。
