口腔癌的光动力疗法:机制、疗效和临床应用

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摘要

光动力疗法(PDT)已成为一种很有前景的口腔癌治疗方法,其特点是能够选择性地靶向恶性细胞,同时最大限度地减少对周围健康组织的损伤。本综述综合了目前有关光动力疗法在口腔癌治疗中的临床应用的知识,强调了它在治疗早期癌症和癌前病变方面的疗效,并取得了良好的结果。光动力疗法的非侵入性和保留关键解剖功能的潜力使其特别适用于手术干预可能带来较高风险或对生活质量产生不利影响的病例。目前的研究重点是通过改进光敏剂配方和优化光传输系统来完善光导疗法。这些进展旨在提高治疗效果,将光导疗法的适用范围扩大到更深层的肿瘤,并解决治疗耐药性等难题。此外,研究人员还在研究个性化治疗策略,旨在针对每位患者的具体情况提高治疗效果,减少潜在副作用。未来的研究方向包括探索光动力疗法与化疗和免疫疗法的协同组合,旨在增强治疗效果,提高长期生存率。通过将技术创新与个性化医疗策略相结合,PDT有望成为口腔癌多学科治疗的基石,为提高临床实践中的患者护理和治疗效果提供新的途径。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Photodynamic therapy for oral cancer: Mechanisms, efficacy, and clinical applications

Photodynamic therapy (PDT) has emerged as a promising therapeutic approach for oral cancer, characterized by its ability to selectively target malignant cells while minimizing damage to surrounding healthy tissues. This review synthesizes current knowledge on PDT's clinical applications in oral cancer treatment, emphasizing its efficacy in managing early-stage cancers and precancerous lesions with favorable outcomes. PDT's non-invasive nature and potential for preserving critical anatomical functions make it particularly suitable for cases where surgical intervention may pose higher risks or affect quality of life adversely. Ongoing research efforts focus on refining PDT through advancements in photosensitizer formulations and optimizing light delivery systems. These developments aim to enhance treatment efficacy, extend PDT's applicability to deeper tumors, and address challenges such as treatment resistance. Furthermore, researchers are investigating personalized treatment strategies designed to enhance therapeutic results and reduce potential side effects for each patient's specific profile. Future directions include exploring synergistic combinations of PDT with chemotherapy and immunotherapy, aiming to potentiate therapeutic responses and improve long-term survival rates. By integrating technological innovations with personalized medicine strategies, PDT holds promise as a cornerstone in the multidisciplinary management of oral cancer, offering new avenues for enhancing patient care and treatment outcomes in clinical practice.

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