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Successes of photodynamic therapy in treatment of erythroplasia of Queyrat 光动力疗法治疗奎拉特红斑的成功案例
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-34-41
A. Kaprin, V. Ivanova-Radkevich, A. Urlova, A. T. Asratov, Y. Gushchina, L. Libo, C. Xiaojun, E. Filonenko
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引用次数: 0
Palliative treatment with the use of photodynamic therapy of patients with malignant tumors of pancreatobiliary zone complicated by obstructive jaundice 胰胆区恶性肿瘤合并梗阻性黄疸的光动力姑息治疗
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-4-12
A. Tseimakh, A. Lazarev, E. Sekerzhinskaya, V. Kurtukov, A. N. Mitshenko, V. Teplukhin, Y. Shoykhet
The paper presents the results of a complex palliative treatment using photodynamic therapy of patients with pancreatobiliary malignancies complicated by obstructive jaundice. In the main group, which included 22 patients, palliative comprehensive treatment was performed using local and systemic photodynamic therapy of pancreatobiliary neoplasms complicated by obstructive jaundice. In the comparison group, consisting of 165 patients, palliative complex treatment of complications was performed without the use of photodynamic therapy. The used photosensitizers were chlorin-based fotoditazin (21 patients) and radachlorin (1 patient). The first step was a systemic PDT. In the course of infusion through a peripheral access into the cubital vein, blood was irradiated externally by laser with monochromatic light with a wavelength of 662–665 nm and a light dose of 1200–1400 J/cm 2 . As the second stage of the treatment, 3–5 hours after the end of the infusion, an intraductal PDT was carried out by irradiation with monochromatic light with a wavelength of 662 nm and a light dose of 220 J/cm 2 . After the use of local and systemic photodynamic therapy, a statistically significant decrease in the size of the tumor focus in patients with pancreatic malignant neoplasms was established within a week after treatment in the main group according to the ultrasound examination of the abdominal cavity. Restoration of bile excretion into the intestine was noted in 100% of patients with malignant neoplasms of the bile duct and head of the pancreas. We also note an increase in median survival of patients in the main group to 5.9 months compared with 4.7 months in the comparison group.
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引用次数: 2
Photodynamic therapy of penile cancer 阴茎癌的光动力疗法
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-42-46
D. M. Yagudaev, G. P. Gens, Z. Kadyrov, A. V. Tikhonenko, N. Kalyagina
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引用次数: 0
Successes of photodynamic therapy in treatment of erythroplasia of Queyrat 光动力疗法治疗奎拉特红斑的成功案例
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-34-41
A. Kaprin, V. Ivanova-Radkevich, A. Urlova, A. T. Asratov, Y. Gushchina, L. Libo, C. Xiaojun, E. Filonenko
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引用次数: 0
Experience of using an excimer lamp equipped with UVB dose control system in dermatology 在皮肤科使用配备 UVB 剂量控制系统的准分子灯的经验
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-21-26
D. Schitz, I. E. Torshina, N. V. Nekrasova, T. M. Busko
Intermediate ultraviolet (UVB) therapy is considered a relatively safe method of treating skin diseases with an autoimmune component in development compared to medical drug methods, including PUVA therapy. This is due to the small depth of penetration of the rays of this wavelength range into skin, which provides a purely local effect on the human body. Excimer lamps are an alternative to the expensive excimer laser for phototherapy of psoriasis or vitiligo. However, for effective phototherapy using UVB lamps, the distance from an emitter to a patient’s skin must be considered. In this paper, we report on treatment of patients using an excimer lamp, the control unit of which is equipped with an optical system for controlling of ultraviolet radiation dose, which allows automatically calculating the time for a set UVB dose. The article describes the results of phototherapy using an excimer lamp of several cases of psoriasis, vitiligo and other forms of dermatitis with a good therapeutic and cosmetic effect. When using an excimer lamp, not a single case of exacerbation of dermatological diseases was established.
与包括 PUVA 疗法在内的医疗药物方法相比,中波紫外线(UVB)疗法被认为是治疗带有自身免疫成分的皮肤病的一种相对安全的方法。这是因为这一波长范围的射线穿透皮肤的深度较小,对人体产生的影响纯属局部效应。准分子灯可替代昂贵的准分子激光用于银屑病或白癜风的光疗。然而,要使用 UVB 灯进行有效的光疗,必须考虑发射器与患者皮肤之间的距离。本文报告了使用准分子灯对患者进行治疗的情况,准分子灯的控制装置配备了控制紫外线辐射剂量的光学系统,可以自动计算设定紫外线剂量的时间。文章介绍了使用准分子灯对几例银屑病、白癜风和其他形式皮炎患者进行光疗的结果,治疗和美容效果良好。在使用准分子灯的过程中,没有发现一例皮肤病恶化的病例。
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引用次数: 1
Application of photodynamic therapy in complex treatment of purulent diseases of the hand 光动力疗法在手部化脓性疾病综合治疗中的应用
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-13-20
Y. Chepurnaya, G. Melkonyan, N. T. Gulmuradova, T. A. Gadjikerimov, A. Suvorov, S. V. Kiseleva
For many years, the treatment of purulent diseases of the hand has stayed relevant. Despite the progress in modern medicine, this pathology retains its prevalence and, most importantly, is often found in patients of the working age, which determines the socio-economic importance of the search for new approaches to the treatment of purulent diseases of this localization. In the purulent surgery department of State Clinical hospital № 4, a study and treatment of two groups of patients were carried out: patients with phlegmons and felons of the hand with open management of postoperative wounds using traditional treatment methods (antibiotic therapy, immobilization, dressings with antiseptic solutions and ointments, the use of wound enzymes) and with the use of photodynamic therapy (PDT) in the postoperative period. PDT was performed on the second or third day after opening the phlegmon or felon using an ATKUS-2 semiconductor laser (AO “Poluprovodnikovye pribory”, Russia) with an output power of 1 to 2 W, an operating wavelength of 660 ± 0.03 nm and an energy density between 20 and 25 J/cm² after application of the photosensitizer based on chlorin e 6 to the treated wound area. The article describes the technique of PDT in patients with purulent diseases of the hand. It was found that it is optimal to perform PDT as early as possible after the operation period, but not earlier than on the second day after the operation, because earlier dressing is especially painful in the absence of sutures and can lead to bleeding from a postoperative wound when the dressing is removed. The effectiveness of treatment in the studied groups was evaluated: the terms of inpatient healing in the groups were compared; the dynamics of the course of the wound process was analyzed. When comparing the results of the two groups, a significant acceleration in the healing of the postoperative wounds was noted in patients for whom PDT was used – 5 days (1.4 times) faster compared to treatment according to the generally accepted technique. The early appearance of granulations and the antibacterial effect of this procedure are noted, which significantly improves the treatment outcome for this pathology. This makes the use of PDT relevant and appropriate in the complex treatment of purulent diseases of the hand
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引用次数: 1
The use of contrast enhancement in the diagnosis of simple and complex cysts kidneys 对比增强在单纯性和复合性肾囊肿诊断中的应用
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-27-33
Yaroslav A. Soloviev, L. Mitina, B. Alekseev, S. Stepanov, A. Kalpinskiy, O. V. Dimitrov, E. A. Nazoikin
In developed countries, the main methods of research and dynamic monitoring of cystic kidney formations are CT and MRI, but their use is impossible in patients with severe concomitant diseases, as well as in the presence of metal structures, pacemakers, etc. Additionally, taking into account the high dose of radiation exposure when using CT obtained by the patient during dynamic observation, the development of alternative methods is relevant. These include, but not limited to, ultrasound using contrast enhancement, which can be used as an alternative or additional method in primary diagnosis or in the dynamic observation of cystic kidney formations. In the article, the authors provide their own experience with the use of an ultrasound contrast medium for the diagnosis and dynamic observation of complex kidney cysts, as well as the introduction of ultrasound observation using a contrast medium to classify patients according to Bosniak M.A.The study included the results of the use of contrast enhanced ultrasound (CEUS) in 28 patients with various cystic formations of the kidneys. The patients were previously divided into two groups: the first consisted of 13 patients with simple cysts, the second – 15 with suspected complex cysts. As a result of the study, the patients were distributed as follows: 15 patients were classified as Bosniak type I, 7 patients – as type II, 3 - type III, 3 - type IV. The studied CEUS method is simple and effective. The specificity of the method was 78.57%, the accuracy of the method was 85.71%, the predictive value of the positive result was 81.25%, and the predictive value of the negative result was 91.66%. CEUS helps to quickly and accurately conduct differential diagnosis between a simple cyst and a complex one, as well as classify cysts according to M.A. Bosniak.
在发达国家,研究和动态监测囊肾形成的主要方法是CT和MRI,但在伴有严重并发症的患者中,以及存在金属结构、起搏器等情况下,不可能使用这些方法。此外,考虑到患者在动态观察期间使用CT时获得的高剂量辐射暴露,开发替代方法是相关的。这些包括但不限于使用对比增强的超声,它可以用作初步诊断或囊肾形成动态观察的替代或附加方法。在文章中,作者提供了自己使用超声造影剂对复杂肾囊肿的诊断和动态观察的经验,并介绍了使用造影剂对患者进行分类的超声观察,根据Bosniak m.a。该研究包括28例不同肾脏囊性形成的患者使用超声造影(CEUS)的结果。患者先前分为两组:第一组有13例单纯性囊肿,第二组有15例疑似复杂囊肿。根据研究结果,患者分布如下:15例为Bosniak I型,7例为II型,3例为III型,3例为IV型。所研究的超声造影方法简单有效。该方法特异性为78.57%,准确度为85.71%,阳性结果预测值为81.25%,阴性结果预测值为91.66%。超声造影有助于快速准确地对单纯性囊肿和复杂性囊肿进行鉴别诊断,并根据M.A. Bosniak对囊肿进行分类。
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引用次数: 2
Experience of using an excimer lamp equipped with UVB dose control system in dermatology 在皮肤科使用配备 UVB 剂量控制系统的准分子灯的经验
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-21-26
D. Schitz, I. E. Torshina, N. V. Nekrasova, T. M. Busko
Intermediate ultraviolet (UVB) therapy is considered a relatively safe method of treating skin diseases with an autoimmune component in development compared to medical drug methods, including PUVA therapy. This is due to the small depth of penetration of the rays of this wavelength range into skin, which provides a purely local effect on the human body. Excimer lamps are an alternative to the expensive excimer laser for phototherapy of psoriasis or vitiligo. However, for effective phototherapy using UVB lamps, the distance from an emitter to a patient’s skin must be considered. In this paper, we report on treatment of patients using an excimer lamp, the control unit of which is equipped with an optical system for controlling of ultraviolet radiation dose, which allows automatically calculating the time for a set UVB dose. The article describes the results of phototherapy using an excimer lamp of several cases of psoriasis, vitiligo and other forms of dermatitis with a good therapeutic and cosmetic effect. When using an excimer lamp, not a single case of exacerbation of dermatological diseases was established.
与包括 PUVA 疗法在内的医疗药物方法相比,中波紫外线(UVB)疗法被认为是治疗带有自身免疫成分的皮肤病的一种相对安全的方法。这是因为这一波长范围的射线穿透皮肤的深度较小,对人体产生的影响纯属局部效应。准分子灯可替代昂贵的准分子激光用于银屑病或白癜风的光疗。然而,要使用 UVB 灯进行有效的光疗,必须考虑发射器与患者皮肤之间的距离。本文报告了使用准分子灯对患者进行治疗的情况,准分子灯的控制装置配备了控制紫外线辐射剂量的光学系统,可以自动计算设定紫外线剂量的时间。文章介绍了使用准分子灯对几例银屑病、白癜风和其他形式皮炎患者进行光疗的结果,治疗和美容效果良好。在使用准分子灯的过程中,没有发现一例皮肤病恶化的病例。
{"title":"Experience of using an excimer lamp equipped with UVB dose control system in dermatology","authors":"D. Schitz, I. E. Torshina, N. V. Nekrasova, T. M. Busko","doi":"10.24931/2413-9432-2020-9-1-21-26","DOIUrl":"https://doi.org/10.24931/2413-9432-2020-9-1-21-26","url":null,"abstract":"Intermediate ultraviolet (UVB) therapy is considered a relatively safe method of treating skin diseases with an autoimmune component in development compared to medical drug methods, including PUVA therapy. This is due to the small depth of penetration of the rays of this wavelength range into skin, which provides a purely local effect on the human body. Excimer lamps are an alternative to the expensive excimer laser for phototherapy of psoriasis or vitiligo. However, for effective phototherapy using UVB lamps, the distance from an emitter to a patient’s skin must be considered. In this paper, we report on treatment of patients using an excimer lamp, the control unit of which is equipped with an optical system for controlling of ultraviolet radiation dose, which allows automatically calculating the time for a set UVB dose. The article describes the results of phototherapy using an excimer lamp of several cases of psoriasis, vitiligo and other forms of dermatitis with a good therapeutic and cosmetic effect. When using an excimer lamp, not a single case of exacerbation of dermatological diseases was established.","PeriodicalId":37713,"journal":{"name":"Biomedical Photonics","volume":"119 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141210462","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Photodynamic therapy of penile cancer 阴茎癌的光动力疗法
Q3 Medicine Pub Date : 2020-04-23 DOI: 10.24931/2413-9432-2020-9-1-42-46
D. M. Yagudaev, G. P. Gens, Z. Kadyrov, A. V. Tikhonenko, N. Kalyagina
{"title":"Photodynamic therapy of penile cancer","authors":"D. M. Yagudaev, G. P. Gens, Z. Kadyrov, A. V. Tikhonenko, N. Kalyagina","doi":"10.24931/2413-9432-2020-9-1-42-46","DOIUrl":"https://doi.org/10.24931/2413-9432-2020-9-1-42-46","url":null,"abstract":"","PeriodicalId":37713,"journal":{"name":"Biomedical Photonics","volume":"122 34","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141210335","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The effect of chlorin e6 drug on platelet aggregation activity 氯e6药物对血小板聚集活性的影响
Q3 Medicine Pub Date : 2019-10-19 DOI: 10.24931/2413-9432-2019-8-3-4-10
N. Petrishchev, M. Galkin, T. Grishacheva, I. N. Dementjeva, S. Chefu
The goal of the study is to evaluate the effect of Radachlorin (OOO “RADA-PHARMA”, Russia) (RC) on platelet aggregation in ex vivo and in vivo experiments. The experiments were conducted on male Wistar rats. Platelet aggregation activity was determined in platelet-rich plasma (PRP) using a turbidimetric method and the aggregation inducer was ADP at a final concentration of 1.25 μM. PRP samples containing RC were irradiated with ALOD-Granat laser device (OOO “Alkom Medika”, Russia) at 662 nm wavelength with 0.05 W/cm2 power density. After a 5-minute incubation of PRP with RC in the dark, dose-dependent inhibition of platelet aggregation was observed. Laser irradiation (12.5 J/cm2 and, especially, 25 J/cm2) increased the inhibitory effect of RC. 3 hours after intravenous administration of RC, the rate and intensity of platelets aggregation did not change, while disaggregation slowed down significantly. Irradiation at a dose of 5 J/cm2 did not affect the platelets aggregation kinetics, and disaggregation slowed down even more at 10 J/cm2, and at 20 J/cm2 the rate and intensity of platelets aggregation decreased, and no disaggregation occurred.In vitro, RC inhibited the ADP-induced platelet aggregation in rats in a dose-dependent manner; after laser irradiation, this effect was enhanced significantly. The effect of RC on circulating platelets leads to a change in their functional state, which manifests in slowing down the disaggregation after exposure to ADP. After laser irradiation (10 J/cm2 and, especially, 20 J/cm2), the severity of the functional changes increases. The role of decreasing the disaggregation activity of platelets in the mechanism of vascular thrombosis in the affected area of photodynamic therapy (PDT) is discussed.
本研究的目的是在体外和体内实验中评价Radachlorin (OOO " RADA-PHARMA ", Russia) (RC)对血小板聚集的影响。实验以雄性Wistar大鼠为实验对象。采用浊度法测定富血小板血浆(PRP)中血小板聚集活性,聚集诱导剂为终浓度为1.25 μM的ADP。用ALOD-Granat激光装置(OOO " Alkom Medika ", Russia)在662 nm波长、0.05 W/cm2功率密度下照射含RC的PRP样品。PRP与RC在黑暗中孵育5分钟后,观察到血小板聚集的剂量依赖性抑制。激光辐照(12.5 J/cm2,特别是25 J/cm2)增强了RC的抑制作用。静脉给药3 h后,血小板聚集的速度和强度没有变化,而解聚速度明显减慢。5 J/cm2照射对血小板聚集动力学无影响,10 J/cm2照射时血小板聚集速度减慢,20 J/cm2照射时血小板聚集速度和强度降低,不发生血小板聚集。在体外,RC抑制adp诱导的大鼠血小板聚集呈剂量依赖性;激光照射后,这种效果明显增强。RC对循环血小板的影响导致其功能状态的改变,表现为暴露于ADP后的分解速度减慢。激光照射(10 J/cm2,特别是20 J/cm2)后,功能改变的严重程度增加。本文讨论了血小板解聚活性降低在光动力治疗(PDT)受累区血管血栓形成机制中的作用。
{"title":"The effect of chlorin e6 drug on platelet aggregation activity","authors":"N. Petrishchev, M. Galkin, T. Grishacheva, I. N. Dementjeva, S. Chefu","doi":"10.24931/2413-9432-2019-8-3-4-10","DOIUrl":"https://doi.org/10.24931/2413-9432-2019-8-3-4-10","url":null,"abstract":"The goal of the study is to evaluate the effect of Radachlorin (OOO “RADA-PHARMA”, Russia) (RC) on platelet aggregation in ex vivo and in vivo experiments. The experiments were conducted on male Wistar rats. Platelet aggregation activity was determined in platelet-rich plasma (PRP) using a turbidimetric method and the aggregation inducer was ADP at a final concentration of 1.25 μM. PRP samples containing RC were irradiated with ALOD-Granat laser device (OOO “Alkom Medika”, Russia) at 662 nm wavelength with 0.05 W/cm2 power density. After a 5-minute incubation of PRP with RC in the dark, dose-dependent inhibition of platelet aggregation was observed. Laser irradiation (12.5 J/cm2 and, especially, 25 J/cm2) increased the inhibitory effect of RC. 3 hours after intravenous administration of RC, the rate and intensity of platelets aggregation did not change, while disaggregation slowed down significantly. Irradiation at a dose of 5 J/cm2 did not affect the platelets aggregation kinetics, and disaggregation slowed down even more at 10 J/cm2, and at 20 J/cm2 the rate and intensity of platelets aggregation decreased, and no disaggregation occurred.In vitro, RC inhibited the ADP-induced platelet aggregation in rats in a dose-dependent manner; after laser irradiation, this effect was enhanced significantly. The effect of RC on circulating platelets leads to a change in their functional state, which manifests in slowing down the disaggregation after exposure to ADP. After laser irradiation (10 J/cm2 and, especially, 20 J/cm2), the severity of the functional changes increases. The role of decreasing the disaggregation activity of platelets in the mechanism of vascular thrombosis in the affected area of photodynamic therapy (PDT) is discussed.","PeriodicalId":37713,"journal":{"name":"Biomedical Photonics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"68974235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
期刊
Biomedical Photonics
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