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Coding untuk menganalisis data pada penelitian kualitatif di bidang kesehatan 编码以分析定性医学研究的数据
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20368
Diah Priharsari, Rosaria Indah
Saat ini jumlah penelitian di bidang kedokteran yang menggunakan metodologi penelitian kualitatif semakin meningkat. Data kualitatif yang dihasilkan dari wawancara, observasi, maupun dokumen biasanya sangatlah banyak jumlahnya dan perlu diberi kode agar mudah menganalisanya. Proses coding sebenarnya cukup rumit dan memerlukan keterampilan tinggi. Sayangnya, hanya sedikit literatur yang menerangkan tentang coding dalam bahasa Indonesia. Artikel ini bertujuan untuk membantu peneliti-peneliti muda di Indonesia untuk melakukan coding. Dalam artikel ini dijelaskan definisi dan karakteristik penelitian kualitatif, langkah-langkah sebelum dan ketika coding dilakukan, siklus coding, penggunaan memo, cara melaporkan coding karya ilmiah, dan contoh-contoh penelitian terdahulu yang menggunakan coding serta limitasi dari proses tersebut. Dengan menguasai teknik coding, data yang banyak dapat diorganisir dengan baik dan menghasilkan tema yang mampu menjawab pertanyaan penelitian. Namun, coding juga memiliki keterbatasan yang harus dipertimbangkan secara seksama oleh peneliti.
目前,使用定性研究方法的医学研究越来越多。面试、观察和文件提供的定性数据通常非常丰富,需要编码以便分析。编码过程其实很复杂,需要很高的技巧。不幸的是,关于如何使用英语编码的文献很少。本文旨在帮助印尼的年轻研究员编写代码。这篇文章解释了定性研究的定义和特点,编写编码之前和何时的步骤,编码周期,备忘录的使用,科学工作的报告方法,以及早期研究使用编码和限制该过程的例子。通过掌握编码技术,大量的数据可以很好地组织起来,并产生能够回答研究问题的主题。然而,编码也有研究人员必须仔细考虑的局限性。
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引用次数: 5
Hubungan Tingkat Pengetahuan Dan Tingkat Aktivitas Fisik Sebagai Pencegah Sindrom Metabolik 知识水平的联系和身体活动的水平作为一种代谢综合症的威慑
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20566
cynthia wahyu asrizal
Gaya hidup tidak aktif merupakan salah satu faktor penyebab terjadinya sindroma metabolik. Komplikasi sindrom metabolik seperti penyakit jantung dan diabetes melitus terus mengalami peningkatan. Mahasiswa perlu memiliki pengetahuan dan tingkat aktivitas fisik yang baik agar dapat menekan angka kejadian sindrom metabolik di kemudian hari dan menjadi teladan bagi sekitarnya. Pengetahuan yang baik dapat memperbaiki tingkat aktivitas fisik. Penelitian ini bertujuan untuk mengetahui hubungan tingkat pengetahuan tentang sindrom metabolik dan  aktivitas fisik yang tepat dengan tingkat aktivitas fisik. Penelitian ini merupakan  penelitian cross sectional pada mahasiswa S1 setiap fakultas di Universitas Syiah Kuala angkatan 2017 dengan metode proporsional simple random sampling. Data tingkat pengetahuan diambil dengan menggunakan kuesioner pengetahuan yang telah di validasi dan data tingkat aktivitas fisik diperoleh dari Global Physical Activity Questionare (GPAQ). Dari hasil penelitian didapatkan 57,1 % responden memiliki aktivitas fisik yang rendah dan 89,7% memiliki pengetahuan yang tinggi. Tidak terdapat hubungan yang signifikan antara tingkat pengetahuan dengan tingkat aktivitas fisik (p = 0,795) pada mahasiswa S1 angkatan 2017 di Universitas Syiah Kuala.
久坐不动的生活方式是导致代谢综合症的因素之一。代谢综合征等并发症,如心脏病和糖尿病,持续增加。学生需要有良好的生理活动知识和水平,以便抑制未来代谢综合症的发生率,并成为周围环境的榜样。良好的知识可以改善体育活动的水平。这项研究的目的是确定代谢综合症的知识水平与运动水平的适当体力活动的关系。本研究是一项针对2017年吉隆坡什叶派学系本科生的横向研究,其方法与简单的随机抽样成比例。知识水平数据是通过验证的知识问卷和从全球物理活动问题中获得的体育水平数据获取的。研究发现57.1 %的受访者体育活动低,89.7%的知识高。在吉隆坡什叶派2017届本科生中,知识水平与体育活动水平(p = 0.795)之间没有明显的联系。
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引用次数: 1
Social media addiction and stress among indonesian medical students in Banjarmasin 班加马辛印尼医科学生的社交媒体成瘾和压力
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.19603
Aldiya Jamila, D. Setyohadi, S. Limantara, Pagan Pambudi, Oski Illiandri
It has been known that some medical student has a high level of stress because of its academic burden. If it could not be well managed this will lead the student to bad academic achievement and academic failure. Many early student monitoring tool has been used to prevent student academic failure, however, there was no satisfying tool until its getting worse into academic failure. An academic supervisor needs to find a new tool to screen the stress level of a medical student at an early stage. Nowadays, social media can not be separated from student life. Some students had high social media activity and some not. Recent studies report that social media activity can reflect one’s mental health. However, the relation between social media addiction and mental health among medical students is still unknown. This study aimed to find a relation between student social media intensity and level of neuroticism in medical students. This study used a cross-sectional approach,  conducted on eighty-four students in medical school. Social Networking Time Use Scale (SONTUS) has been used to measure social media activity and Depression, Anxiety, and Stress Scale (DASS) was used to measure mental health. Data analyzed using the Spearman test. The results showed that 35.7% of respondents used social media with low intensity, 51.1% moderate intensity, 12% high intensity, and 1.2% very high intensity. The rate of depressive symptoms in 63% of respondents was in the normal range, 14.3% mild, 15.5% moderate, 4.8% severe, and 2.4% very severe. The level of anxiety symptoms in 31% of respondents was in the normal range, 12% mild, 29.8% moderate, 14.3% severe, and 13.1% very severe. The correlation between the intensity of social media use and the level of depressive symptoms is not significant (p=0.109; r=0.136), but significant with the level of anxiety symptoms (p=0.013; r=0.241). Base on the result, it was concluded that social media addiction is related to the high level of stress type of anxiety but not depression. Further research needs to be conducted with a more subject sample.
据了解,一些医科学生有很高的压力,因为其学术负担。如果不能很好地管理,这将导致学生学习成绩不好和学业失败。许多早期的学生监控工具被用来预防学生的学业失败,然而,直到它恶化到学业失败为止,都没有令人满意的工具。学术导师需要找到一种新的工具,在早期阶段筛选医学生的压力水平。如今,社交媒体与学生生活密不可分。有些学生的社交媒体活跃度很高,有些则没有。最近的研究表明,社交媒体活动可以反映一个人的心理健康状况。然而,医学生社交媒体成瘾与心理健康之间的关系尚不清楚。本研究旨在探讨医学生社交媒体强度与神经质水平的关系。本研究采用横断面方法,对84名医学院学生进行了调查。社交网络时间使用量表(SONTUS)用于测量社交媒体活动,抑郁、焦虑和压力量表(DASS)用于测量心理健康。数据分析采用Spearman检验。结果显示,35.7%的受访者使用社交媒体的强度较低,51.1%为中等强度,12%为高强度,1.2%为非常高强度。63%的应答者抑郁症状在正常范围内,14.3%为轻度,15.5%为中度,4.8%为重度,2.4%为极重度。31%的被调查者焦虑症状在正常范围内,轻度12%,中度29.8%,重度14.3%,极重度13.1%。社交媒体使用强度与抑郁症状水平的相关性不显著(p=0.109;R =0.136),但与焦虑症状水平相关(p=0.013;r = 0.241)。基于这一结果,研究人员得出结论,社交媒体成瘾与高水平的压力型焦虑有关,而与抑郁无关。进一步的研究需要对更多的主题样本进行。
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引用次数: 0
POTENSI EKSTRAK IKAN GABUS TERHADAP KESEMBUHAN LUKA DIABETES 河豚提取物对糖尿病损伤的治疗潜力
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20376
Bambang Prayugo, M. Ichwan, Zulham Yamamoto
Abstrak. Luka diabetes merupakan luka kronis yang berdampak buruk bagi morbiditas, mortalitas, dan psiko-sosio-ekonomi penderita maupun keluarganya. Kondisi hiperglikemia mengakibatkan fase penyembuhan luka tidak berjalan normal. Ekstrak ikan gabus, yang dapat diberikan peroral maupun sebagai bahan kombinasi penutup luka berpotensi terhadap penyembuhan luka diabetes melalui peningkatan jumlah netrofil dan makrofag, neovaskularisasi. Selain itu, ekstrak ikan gabus meningkatkan jumlah fibroblas, deposisi kolagen, peningkatan re-epitelisasi, kekuatan regangan, dan kontraksi pada penyembuhan luka. 
抽象。糖尿病是一种慢性损伤,对患者及其家庭的发病率、死亡率和精神社会经济状况都不利。高血糖导致伤口的愈合阶段不正常。栓塞鱼提取物,既可作为口服补液,也可作为治疗糖尿病伤口的潜在组合材料,通过增加红细胞和宏生介质,新血管化。此外,河豚提取物增加了纤维质沉积、胶原蛋白沉积、再上皮化、张力和收缩治疗伤口。
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引用次数: 5
Pasien Spinocerebellar Ataxia 3 (SCA3) dengan neuropati perifer di Indonesia : laporan kasus
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20529
Iin Pusparini
Abstract Rationale: Spinocerebellar ataxia (SCA) 3, also known as Machado-Joseph Disease (MJD), is a neurodegenerative disease which involves cerebellum and its afferent and efferent pathways. Generally, the initial symptoms were gait disturbance, double vision, dysarthria, and vertigo.Patient concerns: a 43-year-old male, with known SCA3, presented hereditary ataxia had mild numbness in his both palms since two years ago. Sensory examination found no abnormality. Nerve Conduction Studies (NCS) showed severe axonal demyelinating sensorimotor peripheral neuropathy. In magnetic resonance imaging atrophy cerebellum with cerebral multiple lacunar infarction were seen. Diagnoses: SCA3 was diagnosed on the basis of clinical features, family pedigree, physical examination, electrophysiology study, neuroimaging, nerve biopsy, and genetic testing results. The electrophysiological manifestations revealed profound axonal demyelinating lesion in peripheral nerves. Genetic analysis was not done yet due to lack of availability of genetic testing in our country at this moment although it is the gold standard for diagnosis.Lessons: SCA3 with peripheral neuropathy represents a specific clinical entity that so far has never been described previously in Indonesia.Abbreviations: SCA3 = Spinocerebellar ataxia, MJD = Machado-Joseph Disease, NCS = Nerve Conduction Studies
原理:脊髓小脑性共济失调(SCA) 3,又称Machado-Joseph病(MJD),是一种累及小脑及其传入和传出通路的神经退行性疾病。一般来说,最初的症状是步态障碍,复视,构音障碍和眩晕。患者关注:43岁男性,已知SCA3,表现为遗传性共济失调,两年前开始双手掌轻度麻木。感觉检查未见异常。神经传导研究显示严重的轴突脱髓鞘感觉运动周围神经病变。磁共振成像可见小脑萎缩伴多发腔隙性脑梗死。诊断:根据临床特征、家族谱系、体格检查、电生理研究、神经影像学、神经活检、基因检测结果诊断为SCA3。电生理表现显示周围神经轴突深度脱髓鞘病变。虽然遗传分析是诊断的金标准,但由于目前我国缺乏可用的基因检测,因此尚未进行遗传分析。经验教训:SCA3伴周围神经病变代表了一种特殊的临床实体,迄今为止从未在印度尼西亚描述过。缩写:SCA3 =脊髓小脑性共济失调,MJD = Machado-Joseph病,NCS =神经传导研究
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引用次数: 0
Hemolytic disease of newborn: fokus pada inkompatibilitas ABO 新生儿溶血性疾病:集中于ABO兼容性
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.19059
Teny Tjitra Sari, Riski Muhaimin, Umam Fazlurrahman
HDN harus dicurigai bila didapatkan penurunan hemoglobin tanpa tanda perdarahan, peningkatan produksi eritrosit, ikterik pada 24-48 jam pertama, dan direct anti-globulin test positif. Inkompatibilitas ABO merupakan etiologi terbanyak dari HDN. Meskipun mayoritas terjadi pada ibu dengan golongan darah O, namun dilaporkan kasus pada ibu dengan golongan darah A dan B. Antigen pada kelompok darah ABO, terdiri dari antigen-A, antigen-B, dan prekursornya, antigen-H. Antigen-A dan B memiliki beberapa sub grup antigen dan tidak hanya ada di membran eritrosit, namun juga terdapat pada berbagai jaringan tubuh. Berbeda dengan inkompatibilitas rhesus, pada inkompatibilitas ABO sering terjadi pada kehamilan pertama dengan manifestasi yang lebih ringan. Fototerapi merupakan terapi lini pertama hiperbilirubinemia HDN. Bila tidak membaik, dapat diberikan imunoglobulin dan dilakukan transfusi tukar. Terapi farmakologi lain belum direkomendasikan. Transfusi darah dilakukan bila Hb turun signifikan atau terdapat gejala. Deteksi dini dan tatalaksana adekuat menurunkan morbiditas dan mortalitas.
如果没有出血迹象的血红蛋白减少、促红细胞生成素产量增加、头24-48小时出汗和直接反球蛋白测试呈阳性,就应该引起怀疑。ABO不兼容是HDN最大的病因学。虽然大多数情况下,母亲身上都有O型血,但据报道,ABO血型的母亲身上有A型和B型抗原,由抗基因A型、抗基因B型和抗基因前体组成。antigena和B有几种亚组抗原,它们不仅存在于红斑细胞膜上,还存在于人体的不同组织中。与恒河猴的不兼容性不同,ABO通常发生在第一次怀孕时,表现较轻。光疗是高胆红症HDN的第一个疗程。如果病情没有好转,可以进行免疫球蛋白和交换输血。目前还不推荐其他药理学治疗。当Hb明显下降或出现症状时,就会输血。及早发现并看到强烈的疾病降低了发病率和死亡率。
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引用次数: 0
Perbandingan screen-time berdasarkan kuantitas dan kualitas tidur mahasiswa Fakultas Kedokteran Universitas Pembangunan Nasional Veteran Jakarta pada pandemi Corona Virus Disease-19 把死亡时间与雅加达退伍军人国家建设大学医学院学生的数量和睡眠质量进行比较
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20406
Dhea Faizia Tasya, Nurfitri Bustamam, Winda Lestari
The study result showed that in the pandemic of COVID-19 there was an increase in screen-time that caused sleep disturbances. The Faculty of Medicine Universitas Pembangunan Nasional Veteran Jakarta (FMUPNVJ) implemented the online learning method to prevent transmission of COVID-19. The average of screen-time scheduled for the seventh semester FMUPNVJ was 6.4 hours/day. This study aimed to compare the screen-time based on sleep quantity and quality of FMUPNVJ students. The study used a cross-sectional design with a sample size of 123 subjects. The instruments of this study were the Pittsburgh Sleep Quality Index (PSQI) questionnaire to measure sleep quantity and quality, and a self-reported questionnaire to measure screen-time. The study results showed that most (78.9%) of the subjects were female, aged 21 (20-22) years old with an average of screen-time 10.48 ± 2.87 hours/day, 61% of the subjects had short sleep quantity, and 56.9% of the subjects had poor sleep quality. The results of the statistical test showed that there were differences in screen-time based on sleep quantity (p = 0.000) and sleep quality (p = 0.000). Subjects with high screen-time had short sleep quantity and poor sleep quality.
研究结果表明,在COVID-19大流行期间,屏幕时间的增加导致睡眠障碍。雅加达彭班古南国立退伍军人大学医学院实施了预防新冠病毒传播的在线学习方法。FMUPNVJ第七学期的平均屏幕时间为6.4小时/天。本研究旨在比较FMUPNVJ学生的屏幕时间与睡眠质量的关系。该研究采用横断面设计,样本量为123人。本研究使用匹兹堡睡眠质量指数(PSQI)问卷测量睡眠数量和质量,使用自我报告问卷测量屏幕时间。研究结果显示,78.9%的受试者为女性,年龄在21岁(20-22岁),平均屏幕时间为10.48±2.87小时/天,61%的受试者睡眠时间不足,56.9%的受试者睡眠质量较差。统计检验结果显示,基于睡眠量(p = 0.000)和睡眠质量(p = 0.000)的屏幕时间存在差异。屏幕时间长受试者睡眠时间短,睡眠质量差。
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引用次数: 2
Kaheksia kanker dan tatalaksana nutrisi pada penderita kanker 癌症的Kaheksia和癌症患者的营养
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.19165
Huwainan Nisa Nasution
Abstrak. Gangguan status nutrisi pada penderita kanker yang disebut dengan kaheksia kanker merupakan masalah yang serius. Kaheksia kanker dikarakteristikkan dengan penurunan berat badan, kelemahan otot dan anoreksia. Insidensi kaheksia kanker berkisar 40-80% pada penderita kanker dan menjadi penyebab kematian pada 30-50% penderita kanker. Kaheksia kanker dapat terjadi pada seluruh tahapan penderita kanker, baik pada tahap dini maupun penderita yang telah sembuh dari kanker. Kaheksia kanker dapat diterapi dengan intervensi nutrisi, terapi non-farmakologik dan terapi farmakologik.Kata kunci: kanker, kaheksia kanker, nutrisi, tatalaksana nutrisi Abstract. Impaired nutritional status in cancer patients known as cancer cachexia is a serious problem. Cancer cachexia is characterized by weight loss, muscle weakness and anorexia. The incidence of cancer cachexia ranges from 40-80% in cancer patients and the cause of death in 30-50% of cancer patients. Cancer cachexia can occur at all stages of cancer patients, both at an early stage or in patients who have recovered from cancer. Cancer cachexia can be treated with nutritional interventions, non-pharmacological therapy and pharmacologic therapy. Keyword: cancer, cancer cachexia, nutrition, nutrition therapy
抽象。癌症患者的营养状况障碍是一个严重的问题。癌症癌的症状是体重减轻、肌肉衰弱和厌食症。癌症发病率约为40-80%,30-50%致癌。癌症癌可以发生在癌症早期的所有阶段,也可以发生在癌症康复的所有阶段。癌症癌可以通过营养干预、非药物治疗和药物治疗来治疗。关键词:癌症、癌症、营养、营养缺乏症。癌症患者中潜在的营养不良状态是一个严重的问题。巨蟹座的饮食失调、肌肉无力和厌食症。巨蟹座患者中40-80%的癌症患者和死亡原因的50%来自癌症患者。癌症患者可以在癌症患者的所有阶段、更早的阶段或病人中吸烟。癌症癌可以接受营养干预、非药物治疗和药理学治疗。溃疡,癌症,营养,治疗
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引用次数: 1
Tingkat pengetahuan keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara tentang penyakit stroke 北苏门答腊大学医学院学生的家庭知识水平
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20552
Muhammad Thariq Siregar, Chairil Amin Batubara
Stroke menjadi penyebab kecacatan dan kematian terbanyak kedua di Indonesia. Stroke dapat berdampak pada kecacatan permanen hingga meninggal dunia. Stroke muncul akibat adanya faktor risiko stroke pada seseorang. Penilaian terhadap tingkat pengetahuan stroke pada masyarakat diharapkan dapat menjadi dasar dalam mengedukasi masyarakat tentang penyakit stroke. Metode yang digunakan dalam penelitian ini adalah metode deskriptif observasional dengan desain cross-sectional. Penelitian dilakukan pada anggota keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara angkatan 2017, 2018, dan 2019 dengan besar sampel 60 orang. Instrumen penelitian menggunakan kuesioner penilaian tingkat pengetahuan stroke. Penelitian dilakukan dengan online survey. Hasil penelitian mendapatkan skor responden tentang faktor risiko stroke adalah 73,5% (cukup), tanda dan gejala stroke adalah 68,9% (cukup), penanganan awal stroke adalah 93,3% (baik), upaya pencegahan stroke adalah 96,8% (baik), hasil akhir pengobatan stroke adalah 89,7% (baik), dan tingkat pengetahuan penyakit stroke keseluruhan adalah 93,3% (baik). Hasil penelitian menunjukkan bahwa tingkat pengetahuan keluarga mahasiswa Fakultas Kedokteran Universitas Sumatera Utara tentang penyakit stroke adalah baik. 
中风是印尼第二大致残和死亡原因。中风可能导致永久性残疾,导致死亡。中风是由中风的风险因素引起的。对社区中风知识水平的评估将成为教育社会对中风的基础。本研究采用的方法是分段设计的观察性描述性方法。该研究对象为2017年、2018年和2019届北苏门答腊医学院(Sumatera university of north school of medicine)的学生家庭成员进行了研究,其中包括60人的大量样本。研究工具采用基于中风知识水平评估的问卷。调查是在网上进行的。研究结果显示,中风风险因素的得分为73.5%(足够),中风症状和症状为68.9%(足够),初步中风治疗为93.3%(好的),初步中风治疗为96.8%(好的),中风预防措施为89.7%(好的),总体中风知识为93.3%(好的)。研究表明,北苏门答腊大学医学院学生的家庭知识水平良好。
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引用次数: 0
Diagnosis dan Penatalaksanaan Karsinoma Tonsil
Pub Date : 2021-08-30 DOI: 10.24815/JKS.V21I2.20360
Benny Kurnia, Lily Setiani, Juniar Juniar, Safarianti Safarianti
AbstractTonsilar carcinoma is the most common squamous cell carcinoma of the tonsils that presents as ulcerated lesions on a necrotic basis. These tumors often appear at an advanced stage and often metastasize to the lymph nodes. In recent years, head and neck malignancies due to HPV infection have increased. Other causes of carcinoma of the tonsils are smoking and alcohol abuse. The overall incidence of tonsillar carcinoma increase in the younger population, and this may be associated with an increase of human papilloma virus infection. Tonsil carcinoma varies in clinical history. In the early stages, tonsilar carcinoma are asymptomatic, but at an advanced stages patients might have complaint of a persistent sore throat, unilateral otalgia, or a sensation of mass in the throat, bleeding from the mouth, fetor oris with trismus as a sign of a local invasion. The diagnosis of tonsilar carcinoma made based on history, physical examination, clinical symptoms, and supporting examinations such as of CT scan, MRI and tumor tissue biopsy. Management of tonsilar carcinoma for stage I-II and stage III (T1-2, N1) are local and regional radiotherapy to achieve a good effect. Radiotherapy is the main treatment modality in early-stage of tonsillar carcinoma. concomitant chemotherapy and radiation therapy are the standard treatment for advanced tonsillar carcinoma currently. chemotherapy can be given before radiotherapy or as neoadjuvant, given after radiotherapy or as adjuvant, or given concurrently with radiotherapy.
摘要扁桃体样癌是最常见的扁桃体鳞状细胞癌,表现为溃疡性坏死。这些肿瘤通常出现在晚期,并经常转移到淋巴结。近年来,由HPV感染引起的头颈部恶性肿瘤有所增加。扁桃体癌的其他原因是吸烟和酗酒。扁桃体癌的总体发病率在年轻人群中增加,这可能与人乳头瘤病毒感染的增加有关。扁桃体癌的临床病史各不相同。扁桃体癌早期无症状,但晚期患者可能有持续的喉咙痛、单侧耳痛或喉咙肿块感、口腔出血、口臭伴牙关紧闭,这是局部浸润的迹象。扁桃体癌的诊断依据病史、体格检查、临床症状以及CT扫描、MRI、肿瘤组织活检等辅助检查。扁桃体癌I-II期和III期(T1-2, N1)的治疗是局部和局部放疗,可取得良好效果。放射治疗是早期扁桃体癌的主要治疗方式。目前,联合化疗和放疗是晚期扁桃体癌的标准治疗方法。化疗可在放疗前或作为新辅助,在放疗后或作为辅助,或与放疗同时进行。
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引用次数: 0
期刊
JKS Jurnal Kedokteran Syiah Kuala
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