鼻咽癌放射治疗后鼻腔粘连的临床分析

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目的研究鼻咽癌放射治疗后鼻腔粘连的发病情况、临床特点、诊断、治疗以及预后.方法 2000年8月~2003年12月期间收集鼻咽癌放疗后鼻腔粘连60例,男45例,女15例,年龄20岁~65岁,中位年龄为37岁,其中放疗后半年内40例病例在纤维鼻咽镜窥视下行简单分离.结果在放疗后半年内发生鼻腔粘连病例通过简单分离,实现鼻腔再通,效果满意,无1例发生再粘连;超过半年病例经简单分离难以解决.结论鼻咽癌放疗后鼻腔粘连有较高的发生率,多在放疗后6个月内形成,因此鼻腔粘连应早期处理,纤维鼻咽镜下简单分离在早期是一种很有效
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