首页|探讨浅表切削联合光动力疗法治疗面部鳞状细胞癌的临床效果及安全性

探讨浅表切削联合光动力疗法治疗面部鳞状细胞癌的临床效果及安全性

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目的 本研究旨在探讨浅表切削联合光动力疗法治疗面部鳞状细胞癌的临床效果及安全性.方法 50 例确诊为面部鳞状细胞癌的患者,采用随机对照试验设计将患者分为浅表切削联合光动力疗法组与传统手术治疗组,各 25 例.浅表切削联合光动力疗法组接受浅表切削联合光动力疗法治疗,传统手术治疗组接受传统手术治疗.对比两组患者疗效、术后并发症的发生情况、光敏不良反应、生活质量评分.结果 浅表切削联合光动力疗法组治疗总有效率为 92.00%,高于传统手术组的 68.00%(P<0.05).浅表切削联合光动力疗法组的并发症发生率为 16.00%,低于传统手术组的 48.00%(P<0.05).浅表切削联合光动力疗法组不良反应发生率为 28.00%,低于传统手术组的 4.00%(P<0.05).浅表切削联合光动力疗法组患者身体功能、心理健康和社交功能评分分别为(86.35±5.47)、(87.24±6.24)、(90.35±5.68)分,均高于传统手术治疗组的(77.49±6.81)、(71.39±5.48)、(83.69±4.82)分(P<0.05).结论 浅表切削联合光动力疗法在面部鳞状细胞癌治疗中显示出良好的临床效果和安全性,可作为一种较好的治疗选择.然而,还需要进一步开展大样本、长期随访的研究来验证这些初步结果.
Clinical efficacy and safety of superficial resection combined with photodynamic therapy in the treatment of facial squamous cell carcinoma
Objective To explore the clinical effect and safety of superficial resection combined with photodynamic therapy in the treatment of facial squamous cell carcinoma.Methods 50 patients diagnosed with facial squamous cell carcinoma were divided into superficial resection with photodynamic therapy group and traditional surgery group by randomized controlled trial design,each with 25 cases.The superficial resection with photodynamic therapy group received superficial resection combined with photodynamic therapy,and the traditional surgery group received traditional surgical treatment.The efficacy,incidence of postoperative complications,adverse reactions and quality of life score were compared between the two groups.Results The total effective rate of the superficial resection with photodynamic therapy group was 92.00%,which was higher than 68.00%of the traditional surgery group(P<0.05).The complication rate of the superficial resection with photodynamic therapy group was 16.00%,which was lower than 48.00%of the traditional surgery group(P<0.05).The incidence of adverse reactions in the superficial resection with photodynamic therapy group was 28.00%,which was lower than 4.00%in the traditional surgery group(P<0.05).The scores of physical function,psychological health and social function in the superficial resection with photodynamic therapy group were(86.35±5.47),(87.24±6.24)and(90.35±5.68)points,which were higher than(77.49±6.81),(71.39±5.48)and(83.69±4.82)points in the traditional surgery group(P<0.05).Conclusion Superficial resection combined with photodynamic therapy has shown good clinical efficacy and safety in the treatment of facial squamous cell carcinoma,and can be used as a better treatment option.However,further studies with large samples and long-term follow-up are needed to confirm these preliminary results.

Superficial resectionPhotodynamic therapyFacial squamous cell carcinomaClinical effectSafety

李芳芳、伍婕、于冠宇

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024000 赤峰市医院皮肤科

浅表切削 光动力疗法 面部鳞状细胞癌 临床效果 安全性

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(4)
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