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ID:32284445
大小:2.21 MB
页数:30页
时间:2019-02-02
《鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析摘要目的:分析鼻咽癌放射性腭帆张肌损伤与放疗后分泌性中耳炎关系,探讨鼻咽癌放疗后分泌性中耳炎发病机理。方法:选取经病理确诊为鼻咽癌并接受放疗的32例患者,测量放疗前后磁共振(MⅪ)上腭帆张肌和翼内肌的横截面积,了解是否存在横截面积的改变;同时观察放疗后分泌性中耳炎的发生情况,统计并分析放疗后腭帆张肌改变与SOM的发生的关系。结果:(1)32例(64耳)患者放疗前腭帆张肌在咽鼓管软骨部中下部层面的横截面积的平均值左侧为45.33±9.96mm2,右侧45.72±10
2、.76mm2,放疗后左侧为31.68±12.52rnnl2,右侧为31.81±13.22mm2,其左右两侧放疗前后横截面积的差值经分析(P3、期无关;(5)在放疗前无分泌性中耳炎的48耳中,放疗后合并有分泌性中耳炎的有27耳,其中同时有腭帆张肌萎缩的有24耳,无萎缩的是3耳;放疗后无分泌性中耳炎的是21耳,其中同时有腭帆张肌萎缩的是8耳,无萎缩的是13耳。经X2检验差异有统计学意义(P<0.01),即放疗后分泌性2鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析2006级硕士研究生中耳炎的发生与腭帆张肌的萎缩存在相关性。结论:(1)鼻咽癌放疗后患者的腭帆张肌在6个月以后有着明显的萎缩倾向,而且放疗后分泌性中耳炎的发生与腭帆张肌的萎缩存在着一定的相关性,故放疗后分泌性中耳炎的发生可能与放射性腭帆张肌损伤有关;(24、)腭帆张肌前方的翼内肌在放疗后也存在着横截面积的萎缩改变,提示鼻咽腔壁诸肌在被照射后易发生放射性肌损伤;(3)对于放射性腭帆张肌损伤与放疗后分泌性中耳炎的关系,有待从功能上作进一步研究,探讨放疗后分泌性中耳炎的发生机制。关键词鼻咽癌,放疗后分泌性中耳炎,腭帆张肌横截面积,放射性腭帆张肌损伤,磁共振3鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析2006级硕士研究生THERELATIoNSHIPBETWEENTHECHANGEINCRoSSSECTIONAREAoFTENSoRVELIPALATINIANDSECRETORYoTITISMEDIAINPATIENTSWIT5、HNASoPHARYNGEALCARCINoMAAFTERRADIoTHERAPYABSTRACTObjective:Toexploretheoccurrencemechanismofsecretoryotitismedia(SOM)inpatientswithnasopharyngealcarcinoma(NPC)afterradiotherapythrou曲analyzingtherelationshipbetweenSOMafterradiotherapyandradiation—inducedTVPinjury.Methods:Magneticresonanceimageman6、ifestationsof32patientswithNPCwereanalyzed.MeasuringtheCSAofTVPandMedialPterygoid(MP)tounderstandthechangeoftheirCSAinpre·-andpost--irradiation;MeanwhilesurveyingtheincidenceofSOMafterradiotherapyandanalyzingtherelationshipbetweenthechangeofTVPandtheincidenceofSOMafterradiotherapy.Result:(1)Befo7、reradiotherapy,theaveragevalueofCSAoftheleftTVPin32NPCpatients(64ears)is45.33±9.96mm2,andtherightis45.72-1-10.76mm2;whileafterradiotherapy,theaveragevalueoftheCSAfortheleftwas31.68-t-12.52mln2,andthefightwas31.81±13.22mm2.Th
3、期无关;(5)在放疗前无分泌性中耳炎的48耳中,放疗后合并有分泌性中耳炎的有27耳,其中同时有腭帆张肌萎缩的有24耳,无萎缩的是3耳;放疗后无分泌性中耳炎的是21耳,其中同时有腭帆张肌萎缩的是8耳,无萎缩的是13耳。经X2检验差异有统计学意义(P<0.01),即放疗后分泌性2鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析2006级硕士研究生中耳炎的发生与腭帆张肌的萎缩存在相关性。结论:(1)鼻咽癌放疗后患者的腭帆张肌在6个月以后有着明显的萎缩倾向,而且放疗后分泌性中耳炎的发生与腭帆张肌的萎缩存在着一定的相关性,故放疗后分泌性中耳炎的发生可能与放射性腭帆张肌损伤有关;(2
4、)腭帆张肌前方的翼内肌在放疗后也存在着横截面积的萎缩改变,提示鼻咽腔壁诸肌在被照射后易发生放射性肌损伤;(3)对于放射性腭帆张肌损伤与放疗后分泌性中耳炎的关系,有待从功能上作进一步研究,探讨放疗后分泌性中耳炎的发生机制。关键词鼻咽癌,放疗后分泌性中耳炎,腭帆张肌横截面积,放射性腭帆张肌损伤,磁共振3鼻咽癌放疗前后腭帆张肌横截面积的改变与分泌性中耳炎的相关性分析2006级硕士研究生THERELATIoNSHIPBETWEENTHECHANGEINCRoSSSECTIONAREAoFTENSoRVELIPALATINIANDSECRETORYoTITISMEDIAINPATIENTSWIT
5、HNASoPHARYNGEALCARCINoMAAFTERRADIoTHERAPYABSTRACTObjective:Toexploretheoccurrencemechanismofsecretoryotitismedia(SOM)inpatientswithnasopharyngealcarcinoma(NPC)afterradiotherapythrou曲analyzingtherelationshipbetweenSOMafterradiotherapyandradiation—inducedTVPinjury.Methods:Magneticresonanceimageman
6、ifestationsof32patientswithNPCwereanalyzed.MeasuringtheCSAofTVPandMedialPterygoid(MP)tounderstandthechangeoftheirCSAinpre·-andpost--irradiation;MeanwhilesurveyingtheincidenceofSOMafterradiotherapyandanalyzingtherelationshipbetweenthechangeofTVPandtheincidenceofSOMafterradiotherapy.Result:(1)Befo
7、reradiotherapy,theaveragevalueofCSAoftheleftTVPin32NPCpatients(64ears)is45.33±9.96mm2,andtherightis45.72-1-10.76mm2;whileafterradiotherapy,theaveragevalueoftheCSAfortheleftwas31.68-t-12.52mln2,andthefightwas31.81±13.22mm2.Th
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