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鼻咽癌放射治疗后分泌性中耳炎的临床观察 被引量:7

Study of Secretory Otitis after Radiotherapy in Nasopharyngeal Carcinoma
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摘要 [目的]探讨鼻咽癌患者放射治疗后分泌性中耳炎的发生,寻找有效的防治措施。[方法]观察104例(208只耳)鼻咽癌患者放疗前后分泌性中耳炎的发生。[结果]鼻咽癌患者放疗后分泌性中耳炎的发生率为44.1%(64/45只耳)。放疗后6个月,分泌性中耳炎的发生率达高峰,为 50.1%(33/64只耳)。放疗所致分泌性中耳炎与电离辐射对中耳的直接损伤和放疗前中耳负压升高有密切关系。[结论]改进放射治疗设野技术,使用有效药物,采取鼓膜置管和鼓膜切开等方法对防治分泌性中耳炎的发生有一定用处,但其耳瘘发生率很高。 [Purpose] To investigate the incidence and treatment of secretory otitis after radiotherapy in nasopharyngeal carcinoma . [Methods] Secretory otitis in 104 patients(208 ears) with nasopharyngeal carcinoma were observed before and after radiotherapy . [Results] Incidence rale of secretory otitis resulting from radiotherapy in nasopharyngeal carcinoma was 44. 1% (64/145 ears) .50. 1% (33/64 ears)of them occurred in 6 monthes after radiotherapy. Irradiation damage and increasing negative pressure in middle ear before radiotherapy may be closely associated with secretory otitis . [ Conclusion ] Secretory otitis is one of the causes which influence middle ear function after radiotherapy lor patients with nasopharyngeal carcinoma. Improvement of radiotherapy technique ,effective drug, ventilation tube insertion and myringotomy may be helpful in prevention of secretory otitis . But the incidence of otorrhea is very high.
出处 《肿瘤学杂志》 CAS 2002年第5期279-280,共2页 Journal of Chinese Oncology
关键词 鼻咽癌 分泌性中耳炎 临床观察 放射疗法 治疗 防治 nasopharyngeal neoplasms radiotherapy otilis,secretory
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  • 1程天民,防原医学,1986年
  • 2郭鹞,放射损伤病理学,1987年
  • 3范静平,胡雨田,吕光宇,陆书昌,胡正元.Coγ线引起的豚鼠听觉损伤[J]第二军医大学学报,1988(04).
  • 4田俊芝,杨天恩.鼻咽癌放疗耳前野的设计定位观察[J]天津医药肿瘤学附刊,1980(04).
  • 5赵汝军,刘少云,李忠华,罗特坚.颞骨局部腐蚀原位显示内耳铸型法[J].中国临床解剖学杂志,1992,10(3):221-222. 被引量:5

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