在用于复发性呼吸道乳头瘤病的光动力疗法后,复发性损伤分布
Yufei Pan1, Huili Huang2, Ke Wu2
1School of Medicine, Southeast University, 87 Dingjiaqiao, Hunan Road, Nanjing 210009, Jiangsu, China; Department of Otolaryngology-Head and Neck Surgery, BenQ Medical Center, The Affiliated BenQ Hospital of Nanjing Medical University, 71 Hexi Street, Nanjing 210019, Jiangsu, China; Nanjing Medical Key Laboratory of Laryngopharynx-Head & Neck Oncology, 71 Hexi Street, Nanjing 210019, Jiangsu, China.
Photodiagnosis and photodynamic therapy
|September 18, 2025
概括
复发性呼吸道乳头瘤 (RRP) 的光动力学疗法 (PDT) 显示在上衣和后喉区域的复发率更高. 在RRP的PDT治疗后,in-situ复发比异位复发更为常见.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 在瘤学瘤学.
- 医疗技术 医疗技术 医学技术
背景情况:
- 由于传统手术的复发率很高,复发性呼吸道乳头瘤 (RRP) 是一个挑战.
- 光动力疗法 (PDT) 为RRP提供了一个区域清除策略.
- 在PDT后的RRP复发的解剖分布需要进一步阐明.
研究的目的:
- 评估RRP的PDT后复发性病变的解剖分布.
- 为了确定特定的喉区域,在PDT后复发率较高.
- 为RRPPDT治疗方案的优化提供信息.
主要方法:
- 对43名接受PDT (2021-2024) 治疗的RRP患者的回顾性分析.
- 每月进行喉腔镜检查,以追踪复发.
- 评估病变分布在11个解剖学区域,并比较in-situ和异位复发.
主要成果:
- 视膜表达了最高的相对复发率 (75.00%).
- 后喉区域的复发率较高 (63.16%) 与前区域 (50.00%) 相比.
- 现场复发的发生率明显高于异位复发的发生率 (P < 0.001).
结论:
- 在RRP的PDT后,在解剖区域之间存在复发率的显著变化.
- 表皮和后部区域更容易发生复发.
- 现场复发是使用PDT治疗的RRP中占主导地位的模式.
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