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目的探讨小面积切除联合光动力治疗面部基底细胞癌的效果。方法将58例面部基底细胞癌患者分为两组,治疗组选择小面积切除联合光动力治疗,对照组选择大面积扩大切除治疗,随访1年,记录患者的治疗效果及不良反应。结果治疗组与对照组痊愈率分别为92.1%和90.0%,复发率为7.9%和10.0%,差异未见统计学意义(P>0.05)。结论小面积切除联合光动力治疗面部基底细胞癌的效果好、瘢痕小、复发率底。
Objective To investigate the effect of small area excision combined with photodynamic therapy on facial basal cell carcinoma. Methods Fifty-eight patients with facial basal cell carcinoma were divided into two groups. Small area excision combined with photodynamic therapy was chosen in the treatment group. Enlarged excision was performed in the control group. The follow-up was 1 year. The therapeutic effect and adverse reactions of the patients were recorded. Results The cure rates of the treatment group and the control group were 92.1% and 90.0%, respectively, and the recurrence rates were 7.9% and 10.0%. There was no significant difference between the two groups (P> 0.05). Conclusion Small area resection combined with photodynamic therapy for the treatment of facial basal cell carcinoma has good effect, small scar and low recurrence rate.