摘要
目的：进一步探索以颅神经麻痹（ＣＮＰ）以及用ＣＴ和ＭＲＩ诊断鼻咽癌局部复发（ＮＰＣＬＲ）的方法。方法：选取１００例超腔的ＮＰＣＬＲ病人仔细研究其ＣＮＰ的规律，及其ＣＴ和／或ＭＲＩ的表现。结果：７０％的ＮＰＣＬＲ病人有ＣＮＰ，主要侵犯外展神经（５１．４％）和三叉神经（６７．１％）。与此相反，颅神经放射损伤，则最多侵及舌下神经（６７．４％）。在本组病人的ＣＴ和／或ＭＲＩ片上均可见鼻咽以外的深部解剖结构受累的现象，其中最常受累者为颅底骨（５８％），其次为海绵窦（２５％），翼腭窝（２１％），脑桥小脑角（１６％），咽旁（１４％）和鼻腔（１２％），咽后淋巴结复发亦不少（２２％）。结论：ＮＰＣ放疗后出现ＣＮＰ固然可以高度怀疑其局部复发，但最后诊断尚须根据ＣＴ，尤其ＭＲＩ检查。
Objective:To explore further the cranial never palsy and CT, MRI for diagnosis of local recurrence of nasopharyngeal carinoma (NPCLR).Methods:By reviewing all available materials of 100 patients with confirmed NPCLR beyond the incolvemenr of nasopharynx.Results:Seventy patients had cranial nerve palysy mainly involved the abducent nerve (51.4%) and the trigeminal nerve (67.1%),in contrast to radiation induced injury which invdved mostly the sublingual nerve (67.4%).CT and MRI showed abnormal ities ities in deep structures which were as follows:base of skull (48%),cavernous sinus (25%),pterygopalatine fossa (21%),cerebellopontine angle (16%),parapharyngeal space (14%),nasal cavity (12%),and the Rouviere's nodes (22%).Conclusion:In view of development of cranial nerve palsy in patient after irradiation for NPC,NPCLR may be suspected,but the final diagnosis must be based upon CT and in particodar,the MRI findings.
出处
《上海医学》
CAS
CSCD
北大核心
1998年第10期570-573,共4页
Shanghai Medical Journal
