腭帆张肌横截面积对鼻咽癌患者放射性中耳炎的影响  

Effect of palatosalpingeus cross-sectional area on the radioactive otitis media in patients with nasopharyngeal carcinoma

作　　者：张钦华[1] 邹雨荷[1] 程霞[1] 丁小凡[1] 

机构地区：[1]江门市中心医院肿瘤科,广东529000

出　　处：《上海医药》2017年第9期39-40,44,共3页Shanghai Medical & Pharmaceutical Journal

摘　　要：目的 :探究腭帆张肌横截面积对鼻咽癌患者放射性中耳炎的影响。方法 :选取我院在2015年6月到2016年2月期间接受放射性治疗的鼻咽癌患者37例,采用三维适形调強放射治疗,对所有患者的鼻咽部进行扫描,并测量腭帆张肌与翼内肌通过咽鼓管中下部层面的横断面面积。结果 :放疗后共有25例并发分泌性中耳炎,放疗后患者的左、右腭帆张肌横截面面积均明显小于放疗前,对比具有显著性差异(P<0.05),腭帆张肌发生萎缩耳放射性中耳炎的发生率较未出现萎缩耳明显升高(P<0.05)。结论 :鼻咽癌患者在接受放疗后,腭帆张肌会出现明显的萎缩现象。Objective： To explore the effect of palatosalpingeus cross-sectional area on radioactive otitis media in patients with nasopharyngeal carcinoma. Methods： Thirty-seven cases of patients with nasopharyngeal carcinoma receiving radiation therapy in our hospital from June, 2015 to February, 2016 were selected. All the patients were treated by three dimensional conformal intensity modulated radiation and then their nasopharynxes were scanned by MR/and the cross-sectional areas of the tensor veli palatini muscle and pterygoid muscle through the eustachian tube in the lower part of the level were measured. Results： There were 25 cases （31 ears） complicated by secretory otitis media after treatment and the cross-sectional areas of left and right palatosalpingeus were significantly smaller after radiotherapy than before （P〈0.05）. The incidence of radioactive otitis media was significantly higher in the ears with palatosalpingeus atrophy than without it （P〈0.05）. Conclusion： The phenomenon of palatosalpingeus atrophy occurs in patients with nasopharyngeal carcinoma after radiotherapy.

关 键 词：腭帆张肌横截面积 鼻咽癌 放射性中耳炎 

分 类 号：R739.63[医药卫生—肿瘤]