CAJ | 학술논문

目的：观察尚未接受放疗的鼻咽癌(NPC)患者的耳部并发症情况，测量其中耳压力并探讨其临床意义。方法：调查160例NPC患者放疗前一周内耳部并发症情况，并测量其中耳压力(MEPs)，另选择80例鼻咽慢性炎症患者作对照组测量MEPs。结果：尚未放疗的NPC患者有37．5％(60／160)并发分泌性中耳炎，NPC组较对照组有一较高的中耳负压，不同TNM分期及不同肿瘤部位的NPC患者均普遍存在中耳高负压。结论：不论有无耳部症状，80．41％的NPC患者中耳内都存在一个较高的负压，MEPs有可能成为NPC诊断指标之一。
목적：관찰상미접수방료적비인암(NPC)환자적이부병발증정황，측량기중이압력병탐토기림상의의。방법：조사160례NPC환자방료전일주내이부병발증정황，병측량기중이압력(MEPs)，령선택80례비인만성염증환자작대조조측량MEPs。결과：상미방료적NPC환자유37．5％(60／160)병발분비성중이염，NPC조교대조조유일교고적중이부압，불동TNM분기급불동종류부위적NPC환자균보편존재중이고부압。결론：불론유무이부증상，80．41％적NPC환자중이내도존재일개교고적부압，MEPs유가능성위NPC진단지표지일。
Objective:To evaluate the clinical significance of middle ear pressure detection in patients with nasopharyngeal carcinoma (NPC).Methods:Internal ear and complications of 160 patients with NPC were examined pre-radiotherapeutically,and middle ear pressures(MEPs)of these patients were measured.Results:Sixty patients with secretory otitis media accounting for 37.5%(60/160) of all the patients and 19.3%(62/320) of all the ears.The NPC patients had a more negative mean MEP than the patients with chronic nasopharyngitis.NPC patients with tumors in different part of the nasopharynx or at different stage of the disease commonly had a high negative MEPs.Conclusion:80.41% of the NPC patients had high negative MEPs and had the possibility of becoming an indication of diagnosing NPC.