冷冻治疗与ALA-PDT治疗皮肤癌的疗效观察

Zhi-lian Zhong, Hong-An Deng, Wei Liu
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摘要

目的:探讨冷冻治疗与ALA-PDT治疗皮肤癌的疗效。方法:选取2014年1月至2019年12月陕西省安康人民医院收治的60例皮肤癌患者。根据治疗方法的不同,将30例采用ALA-PDT治疗的患者作为对照组,将30例采用冷冻联合ALA-PDT治疗的患者作为观察组。比较两组患者的总有效率、疼痛评分、手术创伤面积、不良反应发生率及外观总满意度。结果:观察组治疗有效率为96.7%,高于对照组的73.3%,差异有统计学意义(P < 0.05)。观察组患者疼痛评分为(4.12±1.03)分,高于对照组(3.45±0.86)分,手术创伤面积为(1.26±0.04)cm2,低于对照组(1.39±0.05)cm2,差异有统计学意义(P < 0.05)。差异有统计学意义(P < 0.05)。两组患者不良反应发生率比较,差异无统计学意义(P > 0.05)。观察组总满意率为93.3%,高于对照组的66.7%,差异有统计学意义(P < 0.05)。结论:冷冻联合ALA-PDT治疗皮肤癌临床疗效显著,手术面积小,患者外观满意度高。然而,疼痛评分相对较高。因此,在临床上可以综合考虑适当的治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of cryotherapy and ALA-PDT therapy on skin cancer
Objective: to study the effect of cryotherapy and ALA-PDT therapy on skin cancer. Methods: this study selected 60 patients with skin cancer admitted to Ankang People’s Hospital of Shaanxi Province from January 2014 to December 2019. According to different treatment methods, 30 patients treated with ALA-PDT were included in the control group, while 30 patients treated with cryotherapy combined with ALA-PDT were included in the observation group. The total effective rate, pain score, surgical trauma area, incidence of adverse reactions and total satisfaction rate of appearance were compared between the two groups. Results: the treatment efficiency of the observation group was 96.7%, which was higher than that of the control group (73.3%), with a statistically significant difference (P < 0.05). The pain score in the observation group was (4.12 ± 1.03), higher than that of the control group (3.45 ± 0.86), and the surgical trauma area was (1.26 ± 0.04) cm2, lower than that of the control group (1.39 ± 0.05) cm2, with a statistically significant difference (P < 0.05). The difference was statistically significant (all P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Besides, the total satisfaction rate of the observation group was 93.3%, which was higher than that of the control group (66.7%), and the difference was statistically significant (P < 0.05). Conclusion: Cryotherapy combined with ALA-PDT therapy are clinically effective in the treatment of skin cancer, with less invasive surgical areas and higher patient satisfaction with appearance. However, the pain score is relatively higher. Therefore, the appropriate treatment can be clinically considered in a comprehensive manner.
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