| 摘要: |
| ［摘要］ 目的 探讨合并局部粘连的鼻咽癌放疗后鼻窦炎的早期综合治疗效果。方法 对38例鼻咽癌放疗后2～4个月、合并鼻内局部粘连、经保守治疗效果不佳的鼻窦炎患者，行鼻内镜微创外科干预，观察疗效及影响疗效的主要因素。结果 治愈23例(60.5%)，好转15例(39.5 %)，无效0例(0%)，总有效率100%。结论 部分合并鼻内局部粘连的鼻咽癌放疗后鼻窦炎患者，应早期行微创外科干预，术中严格控制创伤范围，结合术后恰当的综合处理可获得满意的治疗效果。 |
| 关键词: 鼻咽肿瘤 放射疗法 鼻窦炎 内窥镜检查 |
| DOI：10.3969/j.issn.1674-3806.2009.03.011 |
| 分类号:R 739.63; R 765.4 |
| 基金项目: |
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| Early micro-wound intervention for nasosinusitis complicated with nasal adhesion in patients with nasopharyngeal carcinoma after radiotherapy |
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MENG Ti-hang, WANG Chun, LI Zhu-yang, et al.
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Department of Otorhinolaryngology, Wuzhou Red Cross Hospital, Wuzhou 543002, China
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| Abstract: |
| ［Abstract］ Objective To explore the effects of early combined therapy for nasosinusitis complicated with nasal adhesion in patients with nasopharyngeal carcinoma after radiotherapy.Methods Thirty-eight patients with nasopharyngeal carcinoma, who suffered from sinusitis complicated with nasal adhesion after radiotherapy and were treated by conservative therapy with unsatisfactory curative effect, were treated by endoscopic sinus micro-wound surgical intervention in 2～4 months after radiotherapy, and the curative effects and the factors influencing the curative effects were observed.Results Twenty-three cases (60.5%) were completely cured, 15 cases (39.5%) were improved and no case (0%) showed ineffective. The total effective rate was 100%.Conclusion For some of the nasosinusitis complicated with nasal adhesion in patients with nasopharyngeal carcinoma after radiotherapy, it will attain satisfactory curative effect take micro-wound surgical intervention early, strictly control the wound area in the surgery and adopt appropriate postoperative combined therapy. |
| Key words: Nasopharyngeal neoplasms Radiotherapy Sinusitis Endoscopy |
