中国眼耳鼻喉科杂志
中國眼耳鼻喉科雜誌
중국안이비후과잡지
CHINESE JOURNAL OF OPHTHALMOLOGY AND OTOLARYNGOLOGY
2009年
4期
236-237
,共2页
蒙逖航%黎柱杨%梁锦辉%王春%叶劲彬
矇逖航%黎柱楊%樑錦輝%王春%葉勁彬
몽적항%려주양%량금휘%왕춘%협경빈
鼻咽肿瘤%放射疗法%鼻窦炎%鼻内镜检查
鼻嚥腫瘤%放射療法%鼻竇炎%鼻內鏡檢查
비인종류%방사요법%비두염%비내경검사
Nasopharyngeal neoplasms%Radiotherapy%Sinusitis%Endoscopy
目的 探讨以鼻内镜鼻窦手术为主的综合治疗对鼻咽癌放射治疗后鼻窦炎的疗效.方法 对我科2004年9月至2007年9月收治的经病理确诊的98例鼻咽癌放射治疗后鼻窦炎患者,行鼻内镜手术为主的综合治疗.手术在放疗后6个月至9年进行.随访12~34个月,观察其疗效.结果 治愈56例(57.1%),好转33例(33.7%),无效9例(9.2%),总有效率(包括治愈和好转例数)为90.8%.随访期间无鼻咽癌复发.结论 鼻内镜鼻窦手术是治疗鼻咽癌放疗后鼻窦炎的有效方法,术中严格控制创伤范围,保留可用黏膜,术后恰当的综合处理是提高疗效的关键.
目的 探討以鼻內鏡鼻竇手術為主的綜閤治療對鼻嚥癌放射治療後鼻竇炎的療效.方法 對我科2004年9月至2007年9月收治的經病理確診的98例鼻嚥癌放射治療後鼻竇炎患者,行鼻內鏡手術為主的綜閤治療.手術在放療後6箇月至9年進行.隨訪12~34箇月,觀察其療效.結果 治愈56例(57.1%),好轉33例(33.7%),無效9例(9.2%),總有效率(包括治愈和好轉例數)為90.8%.隨訪期間無鼻嚥癌複髮.結論 鼻內鏡鼻竇手術是治療鼻嚥癌放療後鼻竇炎的有效方法,術中嚴格控製創傷範圍,保留可用黏膜,術後恰噹的綜閤處理是提高療效的關鍵.
목적 탐토이비내경비두수술위주적종합치료대비인암방사치료후비두염적료효.방법 대아과2004년9월지2007년9월수치적경병리학진적98례비인암방사치료후비두염환자,행비내경수술위주적종합치료.수술재방료후6개월지9년진행.수방12~34개월,관찰기료효.결과 치유56례(57.1%),호전33례(33.7%),무효9례(9.2%),총유효솔(포괄치유화호전례수)위90.8%.수방기간무비인암복발.결론 비내경비두수술시치료비인암방료후비두염적유효방법,술중엄격공제창상범위,보류가용점막,술후흡당적종합처리시제고료효적관건.
Objective To investigate the effect of endoscopic sinus surgery combined with other adjunctive the-rapy on irradiation-induced rhinosinusitis in patients with nasopharyngeal carcinoma(NPC). Methods Ninety-eight NPC patients with irradiation-induced sinusitis hospitalized from September 2004 to September 2007 were enrolled in the study. All patients were treated with endoscopic surgery combined with other adjunctive therapy and followed up for 12 to 34 months. The surgery was performed 6 months to 9 years after the irradiation therapy. Results Fifty-six cases (57.1%) were completely cured, 33 cases (33.7%) were improved and 9 cases (9.2%) were ineffective. The total effective rate (including the cured and improved cases) was 90. 8%. No recurrence was observed. Conclusions Endoscopic sinus surgery was an effective method in the treatment of irradiation-induced rhinosinusitis in patients with nasopharyngeal car-cinoma. The key points to enhance the curative effect included strict control of wound during the surgery, the reservation of the useful mucosa and appropriate postoperative therapy. (Chin J Ophthslmol and Otothinolaryngol ,2009,9:236-237)