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鼻咽癌患者放疗后耳聋的危险因素和临床处理 被引量:2
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作者 莫浩元 邓满泉 +4 位作者 麦海强 齐斌 李宁炜 郭翔 洪明晃 《现代肿瘤医学》 CAS 2009年第10期1856-1858,共3页
目的:了解鼻咽癌患者放疗后耳聋的影响因素探索耳聋的处理方法。方法:观察220例鼻咽癌患者放疗后耳聋的发生情况,对耳聋者鼓室行穿刺抽液。分析患者性别、年龄、鼻咽肿瘤T分期、侧壁侵犯、放疗前分泌性中耳炎等因素与放疗后出现耳聋的... 目的:了解鼻咽癌患者放疗后耳聋的影响因素探索耳聋的处理方法。方法:观察220例鼻咽癌患者放疗后耳聋的发生情况,对耳聋者鼓室行穿刺抽液。分析患者性别、年龄、鼻咽肿瘤T分期、侧壁侵犯、放疗前分泌性中耳炎等因素与放疗后出现耳聋的关系。结果:鼻咽癌患者放疗后耳聋的发生率为46.82%,放疗后6个月内发生率为52.42%。患者性别、年龄、鼻咽肿瘤T分期等因素对放疗后耳聋的发生无显著性影响(P>0.05),肿瘤侵犯鼻咽侧壁和放疗前有分泌性中耳炎与放疗后耳聋的发生显著相关(P<0.01)。结论:肿瘤侵犯鼻咽侧壁和放疗前有分泌性中耳炎是放疗后耳聋的危险因素。鼻咽癌患者放疗后耳聋的处理目前比较好的是重复鼓室穿刺抽液配合适时倒佩戴助听器。 展开更多
关键词 鼻咽肿瘤 放射疗法 中耳炎 处理 ()
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Case Report:Pure word deafness associated with extrapontine myelinolysis 被引量:1
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作者 Ren-jing ZHU Zhi-su LV +2 位作者 Chun-lei SHAN Ming-wei XU Ben-yan LUO 《Journal of Zhejiang University-Science B(Biomedicine & Biotechnology)》 SCIE CAS CSCD 2010年第11期842-847,共6页
Extrapontine myelinolysis and pure word deafness are very uncommon disorders.Here,we report a case of a 19-year-old woman who suffered from osmotic demyelination syndrome with coincidence of typical pure word deafness... Extrapontine myelinolysis and pure word deafness are very uncommon disorders.Here,we report a case of a 19-year-old woman who suffered from osmotic demyelination syndrome with coincidence of typical pure word deafness.As a consequence of rapid correction of hyponatremia,the patient demonstrated an initial onset of cortical deafness,and then progressed to generalized auditory agnosia,which eventually developed into confined verbal auditory agnosia(pure word deafness) .Bilateral extrapontine myelinolysis was confirmed using brain magnetic resonance imaging.This case suggests that verbal and nonverbal stimuli may involve separate thalamocortical pathways. 展开更多
关键词 Pure word deafness Auditory agnosia Osmotic demyelination syndrome Extrapontine myelinolysis Cortical deafness
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