首页|氨酮戊酸光动力疗法联合皮肤切削术治疗皮肤恶性肿瘤的效果及对皮损情况、复发率的影响

氨酮戊酸光动力疗法联合皮肤切削术治疗皮肤恶性肿瘤的效果及对皮损情况、复发率的影响

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目的 探讨氨酮戊酸光动力疗法联合皮肤切削术治疗皮肤恶性肿瘤的效果及对皮损情况、复发率的影响。方法 选取2018年3月至2022年3月收治的80例皮肤恶性肿瘤患者为研究对象,以随机数字表法将其分为对照组和观察组,各40例。对照组实施皮肤切削术,观察组在对照组基础上采用氨酮戊酸光动力疗法。比较两组的治疗效果。结果 观察组的治疗总有效率高于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的皮损面积、皮损颜色评分低于对照组,差异具有统计学意义(P<0。05)。治疗后,观察组的CD4+/CD8+高于对照组,白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)水平低于对照组(P<0。05)。观察组的并发症总发生率、复发率均低于对照组(P<0。05)。结论 氨酮戊酸光动力疗法联合皮肤切削术治疗皮肤恶性肿瘤患者能够提高治疗效果,改善皮损情况及免疫、炎症反应,降低并发症发生率及复发率。
Effect of aminolevulinic acid photodynamic therapy combined with skin ablation in the treatment of skin malignant tumors and its influences on skin lesions and recurrence rate
Objective To investigate the effect of aminolevulinic acid photodynamic therapy combined with skin ablation in the treatment of skin malignant tumors and its influences on skin lesions and recurrence rate.Methods A total of 80 patients with skin malignant tumors admitted from March 2018 to March 2022 were selected as the research objects and divided into control group and observation group by random number table method,with 40 cases in each group.The control group was treated with skin ablation,and the observation group was treated with aminolevulinic acid photodynamic therapy on the basis of the control group.The therapeutic effects of the two groups were compared.Results The total effective rate of treatment in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of skin lesion area and skin lesion color in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the CD4+/CD8+in the observation group was higher than that in the control group,and the levels of interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were lower than those in the control group(P<0.05).The total incidence of complications and recurrence rate in the observation group were lower than those in the control group(P<0.05).Conclusion The aminolevulinic acid photodynamic therapy combined with skin ablation in the treatment of patients with skin malignant tumors can improve the therapeutic effect,enhance the skin lesions,immune and inflammatory reactions,and reduce the incidence of complications and recurrence rate.

skin ablationaminolevulinic acid photodynamic therapyskin malignant tumorskin lesionrecurrence rate

王卫东、祁战涛、魏存会

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西安航天总医院,陕西西安,710100

长安医院,陕西西安,710016

皮肤切削术 氨酮戊酸光动力疗法 皮肤恶性肿瘤 皮损情况 复发率

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(36)