老年鼻咽癌患者32例临床观察  

Clinical observation of 32 elderly patients with nasopharyngeal carcinoma

作　　者：王新[1] 朱耀国[1] 吴继宏[1] 

机构地区：[1]山西省大同市第三人民医院耳鼻喉科,山西大同037008

出　　处：《中国医药科学》2013年第14期144-145,153,共3页China Medicine And Pharmacy

摘　　要：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。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 fehed discomfort,in order to avoid misdiagnosis,missed diagnosis and delay treatment.

关 键 词：老年人 鼻咽癌 肿瘤 生存率 误诊 

分 类 号：R739.6[医药卫生—肿瘤]