[鼻咽癌放疗后鼻窦炎的治疗及相关因素]
[The treatment of sinusitis in patients with nasopharyngeal carcinoma after radiotherapy and the relative factors].
作者信息
Gu Qingjia, Liu Yafeng, Pei Jiahong, Zhao Yu, An Huimin, Zhou Guangyao, Liang Chuanyu
机构信息
Department of Otolaryngology, West China Hospital of Sichuan University, Chengdu, 610041, China.
出版信息
Lin Chuang Er Bi Yan Hou Ke Za Zhi. 2005 Jun;19(11):488-9.
OBJECTIVE
To explore the surgery way on sinusitis with nasopharyngeal carcinoma (NPC) caused by radiotherapy and the relative factors.
METHOD
Forty-five cases of NPC patients with sinusitis caused by radiotherapy were treated by endoscopic sinus surgery in our department from 1998 to 2003. There were 24 males and 21 females, ranging in age from 34 to 45 years old. The clinical data of the patients were analysed retrospectively.
RESULT
All the patients were followed up for a period of 1 to 4 years after operation. 22 cases (48.9%) were cured, 18 cases (40%) were improved, but the other 5 cases (11.1%) were no effective. No serious complications and tumor recurrence occurred.
CONCLUSION
The incidence of sinusitis in patients with NPC after radiotherapy is very high which interferes the effect of radiotherapy on NPC. Endoscopic sinus surgery is an effective method to open sinus ostium. It is feasible and favorable.
目的
探讨鼻咽癌（NPC）放疗后鼻窦炎的手术方式及相关因素。
方法
回顾性分析1998年至2003年我科收治的45例鼻咽癌放疗后鼻窦炎患者的临床资料，其中男性24例，女性21例，年龄34～45岁。
结果
所有患者术后随访1～4年，治愈22例（48.9%），好转18例（40%），无效5例（11.1%），无严重并发症及肿瘤复发。
结论
鼻咽癌放疗后鼻窦炎发生率高，影响放疗效果，鼻内镜鼻窦手术是开放鼻窦开口的有效方法，可行且效果良好。
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