探究MRI增强扫描在鼻咽癌放射性治疗后疗效评估中的应用价值  

To explore the value of MRl enhanced scanning in the evaluation of radiotherapy for nasopharyngeal carcinoma

作　　者：林传周 Lin Chuanzhou(Department of Oncology,Juye County People's Hospital,Heze,Shandong,274900,China)

机构地区：[1]巨野县人民医院,山东菏泽274900

出　　处：《中国医学文摘（耳鼻咽喉科学）》2024年第6期64-66,70,共4页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的分析MRI增强扫描在鼻咽癌放射性治疗后疗效评估中的应用价值。方法将2021年4月~2023年4月期间在本院完成放射性治疗的80例鼻咽癌患者作为本次研究对象,在放射性治疗前后给予MRI常规扫描及增强扫描,对比治疗前后的病灶直径变化以及对周围组织的侵犯情况。结果与治疗前相比,治疗后患者的病灶直径明显缩小,淋巴结肿大、病灶边界模糊、侵犯口腔、侵犯翼内肌、侵犯翼外肌的检出率明显降低,差异有统计学意义(P<0.05)。结论MRI增强扫描应用于鼻咽癌放射性治疗后疗效评估,可以反映病灶直径和侵犯情况。Objective To explore the value of contrast-enhanced MRI in evaluating the efficacy of radiotherapy for nasopharyngeal carcinoma(NPC).Methods 80 patients with nasopharyngeal carcinomal from April 2021 to April 2023 were selected.Conventional MRI scan and enhanced MRI scan were performed before and after radiotherapy,and the lesion diameter change and invasion to surrounding tissues before and after treatment were compared.Results Compared with before treatment,the lesion diameter of patients after treatment was significantly reduced,the detection rate of lymphadenopathy,vague lesion boundary,invasion of oral cavity,invasion of medial pterygoid muscle and invasion of lateral pterygoid muscle was significantly reduced,and the difference was statistically significant(P<0.05).Conclusion Contrast-enhanced MRI can be used to evaluate the curative effect of radiotherapy for nasopharyngeal carcinoma,which can reflect the diameter and invasion of the lesion.

关 键 词：核磁共振 增强扫描 鼻咽癌 放射性治疗 疗效评估 应用价值 

分 类 号：R73[医药卫生—肿瘤]