鼻咽清创术在鼻咽癌放疗后鼻咽坏死并反复出血的应用  

Debridement for repeated epistaxis in patients with radiation-related nasopharyngeal necrosis

作　　者：张剑利[1] 王跃建[1] 陈伟雄[1] 

机构地区：[1]中山大学附属佛山医院耳鼻咽喉科,广东佛山528000

出　　处：《山东大学耳鼻喉眼学报》2009年第4期21-23,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨鼻咽清创术治疗鼻咽癌放疗后鼻咽坏死致反复鼻出血的疗效。方法8例鼻咽癌放疗后因鼻咽坏死引起鼻出血,在常规止血效果不理想的情况下,采用鼻咽清创术治疗,并分析其效果。结果8例均未出现严重的手术并发症,1例因再次出血死亡,7例出血得到控制,随诊情况良好。结论在常规止血效果不佳的情况下,鼻咽清创术可有效治疗鼻咽癌放疗后鼻咽坏死所致鼻出血。Objective To investigate the effect of debridement for repeated epistaxis in patients with radiation-related nasopharyngeal necrosis.Methods 8 cases of radiation-related nasopharyngeal necrosis,which were admitted for repeated epistaxis,were treated with debridement.Results 7 cases were cured and 1 patient died of massive nasopharyngeal hemorrhage.Conclusions For cases of radiation-related nasopharyngeal necrosis,if nasal packing can not control it,debridement may be an effective way.

关 键 词：鼻咽癌 放射治疗 鼻出血 

分 类 号：R765.23[医药卫生—耳鼻咽喉科] R739.63[医药卫生—临床医学]