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皮肤T细胞淋巴瘤的光疗进展
引用本文:顾俊瑛,陈明华. 皮肤T细胞淋巴瘤的光疗进展[J]. 国际皮肤性病学杂志, 2006, 32(4): 214-216
作者姓名:顾俊瑛  陈明华
作者单位:200040,上海,复旦大学附属华山医院皮肤科
摘    要:光疗可治疗皮肤T细胞淋巴瘤,根据不同分期选用不同光源。宽谱中波紫外线只对斑片期皮损有效,窄谱中波紫外线对斑片期和早期斑块期皮损有效,长波紫外线A1可治疗皮损较厚又不能耐受补骨脂者,单频准分子激光对IA期皮损有效。补骨脂加长波紫外线能清除斑块期皮损,体外光分离置换法对晚期皮肤T细胞淋巴瘤疗效较佳。光动力疗法亦可治疗皮肤T细胞淋巴瘤。

关 键 词:淋巴瘤,T细胞,皮肤  光疗法
收稿时间:2005-11-16
修稿时间:2005-11-16

Progress in Phototherapy of Cutaneous T-cell Lymphoma
GU Jun-ying,CHEN Ming-hua. Progress in Phototherapy of Cutaneous T-cell Lymphoma[J]. International Journal of Dermatology and Venereology, 2006, 32(4): 214-216
Authors:GU Jun-ying  CHEN Ming-hua
Abstract:Phototherapy can be used for the treatment of cutaneous T-cell lymphoma (CTCL),and vari- ous light sources are choiced according to the stages of the disease.Ultraviolet B(UVB)is exclusively effective for patch-stage lesions,narrowband-ultraviolet B (NB-UVB) for both patch-and plaque-stage lesions.Ultraviolet Al(UVAl)is suitable for those with thicker skin lesions and intolerance to psoralen.Monochromatic excimer laser(308nm)is effective in stage IA lesions of mycosis fungoides.Ultraviolet A plus psoralen(PUVA)can clear plaque-phase lesions and extracorporeal photopheresis is more effective for advanced CTCL.Photodynamic thera- py can also be used in the treatment of CTCL.
Keywords:Lymphoma  T-cell  cutaneous  Phototherapy
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