中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2013年
14期
144-145,153
,共3页
老年人%鼻咽癌%肿瘤%生存率%误诊
老年人%鼻嚥癌%腫瘤%生存率%誤診
노년인%비인암%종류%생존솔%오진
The elderly%Nasopharyngeal carcinoma%Tumor%Survival rate%Misdiagnosis
目的探讨影响老年鼻咽癌患者生存的相关因素。分析老年鼻咽癌易误诊、漏诊的原因，以达到提高生存率，减少误诊。方法回顾性分析32例老年鼻咽癌患者临床资料，其中治疗组20例，非治疗组12例，对两组疗效及预后进行比较，并对误漏诊和对策进行分析。结果治疗组20例；1年以上生存11例(55%)，其中完全缓解5例，部分缓解6例，死亡9例(45%)；非治疗组12例，1年以上生存5例（41.7%），死亡7例（58.3%），32例误诊15例，误诊率为46.9%。误诊、漏诊涉及到本院其他科室、本科室及外院及患者本人。误诊、漏诊疾病依次为颈部肿物（淋巴腺炎）、慢性胃炎、偏头痛，流涕带血、鼻塞、耳聋耳鸣等。结论通过临床观察我们认为积极治疗可以改善老年鼻咽癌患者的预后，提高老年人的治愈率和生存率，提示老年人如发现不适感应该及早就诊，以防误诊、漏诊，延误病情。
目的探討影響老年鼻嚥癌患者生存的相關因素。分析老年鼻嚥癌易誤診、漏診的原因，以達到提高生存率，減少誤診。方法迴顧性分析32例老年鼻嚥癌患者臨床資料，其中治療組20例，非治療組12例，對兩組療效及預後進行比較，併對誤漏診和對策進行分析。結果治療組20例；1年以上生存11例(55%)，其中完全緩解5例，部分緩解6例，死亡9例(45%)；非治療組12例，1年以上生存5例（41.7%），死亡7例（58.3%），32例誤診15例，誤診率為46.9%。誤診、漏診涉及到本院其他科室、本科室及外院及患者本人。誤診、漏診疾病依次為頸部腫物（淋巴腺炎）、慢性胃炎、偏頭痛，流涕帶血、鼻塞、耳聾耳鳴等。結論通過臨床觀察我們認為積極治療可以改善老年鼻嚥癌患者的預後，提高老年人的治愈率和生存率，提示老年人如髮現不適感應該及早就診，以防誤診、漏診，延誤病情。
목적탐토영향노년비인암환자생존적상관인소。분석노년비인암역오진、루진적원인，이체도제고생존솔，감소오진。방법회고성분석32례노년비인암환자림상자료，기중치료조20례，비치료조12례，대량조료효급예후진행비교，병대오루진화대책진행분석。결과치료조20례；1년이상생존11례(55%)，기중완전완해5례，부분완해6례，사망9례(45%)；비치료조12례，1년이상생존5례（41.7%），사망7례（58.3%），32례오진15례，오진솔위46.9%。오진、루진섭급도본원기타과실、본과실급외원급환자본인。오진、루진질병의차위경부종물（림파선염）、만성위염、편두통，류체대혈、비새、이롱이명등。결론통과림상관찰아문인위적겁치료가이개선노년비인암환자적예후，제고노년인적치유솔화생존솔，제시노년인여발현불괄감응해급조취진，이방오진、루진，연오병정。
Objective To discuss the relevant factors on the survival of elderly patients with nasopharyngeal carcinoma,and analyze the causes of misdiagnosis and missed diagnosis in elderly patients with nasopharyngeal carcinoma,in order to improve the survival rate and reduce misdiagnosis. Methods The clinical data of 32 elderly patients with nasopharyngeal carcinoma were retrospectively analyzed.Of all there were 20 cases in treatment group and 12 cases in non-treatment group.The curative effect and prognosis of two groups were compared,and the misdiagnosis,missed diagnosis and correspond strategies were analyzed. Results In 20 cases of treatment group,there were 11 survival cases(55%) who survived more than one year, and 9 dead cases(45%).5 cases of complete remission and 6 cases of partial remission were included in the 11 survival cases.In 12 cases of non-treatment group,there were 5 survival cases(41.7%) who survived more than one year,and 7 dead cases(58.3%).15 cases of misdiagnosis accounted for 46.9% in 32 cases.The misdiagnosis and missed diagnosis were related to our department and other departments in our hospital,other hospitals and the patients themselves.The diseases caused by misdiagnosis and missed diagnosis were followed by neck mass (lymphadenitis),chronic gastritis,migraine headaches, runny nose with blood,nasal congestion,deafness and tinnitus. Conclusion Active treatment can improve the prognosis of elderly patients with nasopharyngeal carcinoma and improve the cure rate and survival rate of the elderly through clinical observation. It shows that early diagnosis and treatment should be done if the elderly felted discomfort,in order to avoid misdiagnosis,missed diagnosis and delay treatment.
