ÈÈÃŹؼü´Ê£º ÷ƹÇÈí»¯ÄÜ×ÔÓúÂð ÈÍ´øËºÁÑ ¹Ø½ÚÑ×ÔõôÖÎ °ëÔ°åËðÉË
ǿֱÐÔ¼¹ÖùÑ×£¨Ankylosing spondylitis£¬¼ò³ÆAS£©ÊÇÒ»ÖÖÖ÷ÒªÀÛ¼°ÖÐÖá¹Ç¸ìµÄÂýÐÔ¡¢Ñ×Ö¢ÐÔ¼²²¡£¬ÊôÓÚ·çʪ²¡µÄÒ»ÖÖ£¬²¡ÒòÉв»Ã÷£¬¿ÉÄÜÓëÒÅ´«¡¢»·¾³¡¢ÃâÒßÒì³£µÈÓйء£
ǿֱÐÔ¼¹ÖùÑ×ÒÔÄÐÐÔÇà׳Äê¶à¼û£¬·¢²¡ÄêÁäΪ20¡«30Ë꣬40ËêÒÔºó·¢²¡½ÏÉÙ¡£
Ö÷ÒªÇÖ·¸÷¾÷Ĺؽڡ¢¼¹Öù¹ÇÍ»¡¢¼¹ÖùÅÔÈí×éÖ¯¼°ÍâÖܹؽڣ¬ÒýÆð¼¹ÖùǿֱºÍÏËά»¯£¬Í¬Ê±¿É°é¹Ø½ÚÍâ±íÏÖ¡£
ǿֱÐÔ¼¹ÖùÑ׵IJ¡ÀíÐÔ±êÖ¾ºÍÔçÆÚ±íÏÖ֮һΪ÷¾÷ĹؽÚÑ×£¬µ½ÍíÆÚ¼¹ÖùÊÜÀ۵ĵäÐͱíÏÖΪÖñ½Ú×´¼¹Öù¡£
ĿǰÈÏΪǿֱÐÔ¼¹ÖùÑ×ÓëÈËÀà°×ϸ°û¿¹ÔHLA-B27Ç¿Ïà¹Ø£¬ÓëÒÅ´«ÒòËØÒ²Óкܴó¹ØÁª¡£
ǿֱÐÔ¼¹ÖùÑ×£¬Æð²¡»ºÂý¶øÒþÄ䣬ÔçÆÚ¿ÉÎÞÈκÎÁÙ´²Ö¢×´¡£ÓÐЩ»¼ÕßÔçÆÚ±íÏÖ³öÇá¶ÈµÄÈ«ÉíÖ¢×´£¬Èç·¦Á¦¡¢ÏûÊÝ¡¢³¤ÆÚ»ò¼ä¶ÏµÍÈÈ¡¢Ñáʳ¡¢Çá¶ÈƶѪµÈ¡£ÓÉÓÚ²¡Çé½ÏÇᣬ»¼Õß´ó¶à²»ÄÜÔçÆÚ·¢ÏÖ£¬ÖÂʹ²¡ÇéÑÓÎó£¬Ê§È¥×î¼ÑÖÎÁÆÊ±»ú¡£
ǿֱÐÔ¼¹ÖùÑ×µÄÖ÷Òª²¡±äÔÚ¼¹Öù£¬Òò´Ë»¼ÓѵÄÁÙ´²Ö¢×´Ö÷ÒªÓУº
1¡¢Ñü±³Í´
ÒòΪÆð²¡ÒþÏ®£¬³õÆÚÖ¢×´¶à²»Ã÷ÏÔ£¬ÌÛÍ´³£ÎªÒþÍ´£¬ÄÑÒÔ¶¨Î»£¬ÍùÍù²»±»»¼ÓÑËù×¢Ò⣬ÒÔºóËæ×Ų¡±ä·¢Õ¹£¬Ö¢×´Öð½¥¼ÓÖØ£¬ÌÛÍ´¿É·¢Õ¹ÎªË«²à¼°³ÖÐøÐÔ£¬²¢¿ÉÉÏÐÐÖÁÐØ×µ¡¢¾±×µ¡£
ÈçÐØ×µÊÜÀÛ£¬¿É³öÏÖÐØÍ´£¬Ðز¿À©ÕÅÊÜÏÞ£»Èç¾±×µÊÜÀÛ£¬¿É³öÏÖ²»ÄܵÍÍ·¡¢ºóÑöºÍ×óÓÒת¾±À§ÄÑ¡£ÑÏÖØÊ±»¼ÓÑÍ´ÐÑ£¬·ÉíÀ§ÄÑ¡£
2¡¢³¿½©
³¿½©ÊÇǿֱÐÔ¼¹ÖùÑ×µÄÁíÒ»¸ö³£¼û±íÏÖ¡£»¼ÓÑÇ峿»ò¾Ã×øÆðÁ¢Ê±£¬Ñü±³·¢½©£¬Çá΢»î¶¯ºó»º½â¡£³¿½©³£ÎªÔçÆÚÖ¢×´£¬Ò²ÊǼà²â»¼ÓÑ ¼²²¡»î¶¯ÐÔµÄÒ»¸öÖ¸±ê¡£
3¡¢¼¹Öùǿֱ
ÍíÆÚ£¬»¼Óѵļ¹Öù»î¶¯Ã÷ÏÔÊÜÏÞ£¬²»ÄÜÍäÑü£¬ÉõÖÁÍÕ±³»ûÐμ°Õû¸ö¼¹Öùǿֱ£¬µ«´ó²¿·Ö»¼ÓÑ Ö»ÏÞÓÚ²¿·Ö¼¹ÖùÊÜÀÛ£¬ÉõÖÁ½öÏÞÓÚ÷¾÷Ĺؽڲ¡±ä¡£
1¡¢Ç¿Ö±ÐÔ¼¹ÖùÑ×£¬»¼ÕßÄÐÐԾӶ࣬¶øÀà·çʪÐԹؽÚÑ×£¨Rheumatoid arthritis£¬¼ò³ÆRA£©Å®ÐԾӶࣻ
2¡¢Ç¿Ö±ÐÔ¼¹ÖùÑ×ÎÞÒ»ÀýÍâ¶¼ÓÐ÷¾÷ĹؽÚÊÜÀÛ£¬¶øÀà·çʪÐԹؽÚÑ׺ÜÉÙÓÐ÷¾÷Ĺؽڲ¡±ä£»
3¡¢Ç¿Ö±ÐÔ¼¹ÖùÑ×Ϊȫ¼¹Öù×Ô϶øÉÏÊÜÀÛ£¬¶øÀà·çʪÐԹؽÚÑ×Ò»°ã¶àÇÖ·¸ÊÖ¡¢×ãС¹Ø½Ú£»
4¡¢ÍâÖܹؽÚÑ×£¬ÔÚǿֱÐÔ¼¹ÖùÑ×±íÏÖΪÉÙÊý¹Ø½Ú¡¢·Ç¶Ô³ÆÐÔ£¬ÇÒÒÔÏÂÖ«´ó¹Ø½ÚΪÖ÷£»ÔÚÀà·çʪÐԹؽÚÑ×£¬ÔòΪ¶à¹Ø½ÚÐÔ¡¢¶Ô³ÆÐÔ£¬ËÄÖ«´óС¹Ø½Ú¾ù¿É·¢²¡£»
5¡¢Ç¿Ö±ÐÔ¼¹ÖùÑ×ûÓÐÀà·çʪÐԹؽÚÑ×»¼ÕßÖг£¼ûµÄÀà·çʪ½á½Ú£»
6¡¢Ç¿Ö±ÐÔ¼¹ÖùÑ×µÄѪÇåÀà·çʪÒò×Ó³ÊÒõÐÔ£¬¶øÀà·çʪÐԹؽÚÑ×µÄÑôÐÔÂÊÔò´ï60%~95%£»
7¡¢·Ö×ÓÉúÎïѧ¼ì²â£¬Ç¿Ö±ÐÔ¼¹ÖùÑ×»¼ÕßÒÔHLA-B27ÑôÐÔÕ߾Ӷ࣬¶øÀà·çʪÐԹؽÚÑ×ÔòÓëHLA-DR4ÑôÐÔÏà¹Ø¡£
ÖÎÁÆÇ¿Ö±ÐÔ¼¹ÖùÑ×µÄз½·¨
ÔçÔÚ2014Ä꣬ÍÈÓÑÖ®¼Òº£ÍâÒ½ÁÆÍŶÓÖÎÁƵÄǿֱÐÔ¼¹ÖùÑ×»¼Õߣ¬²ÉÓÃÁË×ÔÌåÖ¬·¾À´Ô´¸´ºÏÐÞ¸´Òò×ÓSVF¹Ø½Ú×¢ÉäºÍ¾²Âö»ØÊ䣬֢״¸ÄÉÆ£¬ÖÁ½ñûÓи´·¢¡£
SVF £¨Stromal Vascular Fraction£©£¬Ñ§Ãû¡°Ñª¹Ü»ùÖÊ×é·Ö¡±£¬ÊÇ´Ó»¼Õß×ÔÌå³éÈ¡µÄÖ¬·¾×éÖ¯ÖÐÌáÈ¡ÓÐЧ³É·Ö£¬º¬ÓжàÖÖ¾ßÓÐÐÞ¸´¹¦ÄܵÄϸ°ûÒÔ¼°Ï¸°ûÒò×Ó»ìºÏÎïÐγɵÄϸ°ûȺ£¬°üÀ¨·á¸»µÄÔÉú̬֬·¾¼ä³äÖʸÉϸ°û£¨ASCs£©¡¢¸ßŨ¶ÈѪС°åѪ½¬£¨PRP£©¡¢¾ÞÊÉϸ°û¡¢ÄÚÆ¤Ï¸°û¡¢ºìϸ°û¡¢ÃâÒßϸ°û¡¢Éú³¤Òò×ӵȡ£ÆäÖУ¬¸Éϸ°û³É·Ö²»¾¹ýÉúÎïÀ©Ôö£¬ÉúÎï»îÐÔÓÅÒì¡£
Ïà±ÈÓÚµ¥´¿µÄ¸Éϸ°û£¬SVFÖеĸ÷ÖÖϸ°ûÖ®¼äÓÐÒ»ÖÖÐͬЧӦ£¬ËüÃÇÖ®¼äÏ໥ӰÏ첢ͨ¹ý×Ô·ÖÃÚºÍÅÔÃÚ×÷Óã¬Ôö¼Ó×éÖ¯µÄÐÞ¸´ÄÜÁ¦ºÍ´´ÃæÓúºÏÄÜÁ¦£¬°²È«¡¢ÓÐЧ¡£
¹Ø½ÚÇ»×¢ÉäSVF£¬¶Ô¹Ø½ÚÈí¹ÇËðÉËÒÔ¼°¹Ø½ÚÍ˱äµÄ»¼ÓÑÓкܺõÄÐÞ¸´×÷Óã¬Ò²Äܺܺõػº½âÌÛÍ´ºÍ¸ÄÉÆ¹Ø½Ú¹¦ÄÜ¡£
ǿֱÐÔ¼¹ÖùÑ×ÊÇ×ÔÉíÃâÒßÐÔ¼²²¡£¬ÖÎÁÆÉÏÐèÒª´Ó×ÔÉíÃâÒßµ÷½ÚÈëÊÖ¡£ËùÒÔ£¬ÐèÒª¹Ø½ÚËðÉË´¦×¢ÉäSVF¸´ºÏÐÞ¸´Òò×Ó£¬ÐÞ¸´ËðÉ˲¿Î» £¬¼ÓÉϾ²Âö»ØÊäSVF£¬¿ÉÒÔµ÷½Ú×ÔÉíÃâÒß¹¦ÄÜ¡£
ǿֱÐÔ¼¹ÖùÑ×µÄÔ¤ºó£¬Ó¦¸Ã»¹ÊDZȽϺõġ£ÖÎÁÆÖгýÁ˵÷½Ú×ÔÉíÃâÒß¹¦ÄÜ£¬ÑÓ»º²¡Çé·¢Õ¹£¬Ìá¸ß»¼ÓÑÉú»îÖÊÁ¿Í⣬»¹Ó¦Ô¤·À¹Ø½Ú»ûÐΣ¬ÌرðÊǼ¹ÖùǿֱµÄ³öÏÖ¡£Òª×¢ÒâÈÕ³£Éú»îÖÐά³ÖÕý³£×ËÊÆºÍ»î¶¯ÄÜÁ¦£¬ÈçÐÐ×ß¡¢×øÎ»ºÍÕ¾Á¢Ê±Ó¦Í¦ÐØÊÕ¸¹£¬Ë¯¾õʱ²»ÓÃÕí»òÓñ¡Õí£¬Ë¯Ó²Ä¾°å´²¡£²ÎÓëÁ¦ËùÄܼ°µÄÀͶ¯ºÍÌåÓý»î¶¯¡£¹¤×÷ʱעÒâ×ËÊÆ£¬·ÀÖ¹¼¹ÖùÍäÇú»ûÐεȡ£¿ØÖƲ¡Çé·¢Õ¹£¬¹Ø¼üÔÚÓÚÔçÕï¶Ï¡¢ÔçÖÎÁÆ£¬²ÉÈ¡×ۺϴëÊ©¡°ÄÚÍâ¼æÐÞ¡±¡£
ÈÈÃűêÇ©£º ¹Ø½Ú°Ù¿Æ
±¾ÎĹؼü´Ê£º ǿֱÐÔ¼¹ÖùÑ× ÍÈÓÑÖ®¼Ò SVF