摘要
目的 了解鼻咽癌 (nasopharyngealcarcinoma ,NPC)患者耳部症状及其中耳压力的临床意义。方法 调查160例 ( 3 2 0耳 )确诊为NPC患者的耳部症状、体征并测量中耳压力。结果 以耳部症状首诊的有 75例 ( 83耳 ) ,占总人数的 46 9% ,占总耳数的 2 5 9% ;62耳有分泌性中耳炎 ,占总耳数的 19 4% ;2 1耳有耳部症状而无分泌性中耳炎者 ,其平均中耳压为 -87 62mmH2 O ;全组能作有效测量的 2 40耳的平均中耳压为 -4 9 5 6mmH2 O。结论 耳阻塞感、耳鸣和听力下降等耳部症状是NPC常见临床表现之一 ,发生的原因是中耳高负压 ,严重的中耳高负压者常有分泌性中耳炎发生。因此 ,在NPC高发区 。
Objective To investigate the ear symptoms, the middle ear pressures(MEPs) and their clinical significance in patients with nasopharyngeal carcinoma(NPC). Methods Symptoms and signs of the ears were recorded and the MEPs were measured in 160 newly diagnosed patients with NPC.Results 75 patients (83 ears) had symptoms in ears, accounting for 46.9% of all patients and 25.9% of all ears. 62 ears with secretory otitis media (SOM) made up 19.4% of all ears. 21 ears with ear symptoms and without SOM had a mean MEP of -87.62 mmH 2O while the mean MEP of all ears was -49.56 mmH 2O. Conclusion Tinnitus, blocked feeling in the ear and deafness were some of the main manifestations of NPC, commonly caused by high negative MEPs which may result in SOM. In endemic area of NPC, nasopharynx should always be examined carefully in patients with unilateral or bilateral ear symptoms, especially if it is not improved after promptly and properly treatment.
出处
《广东医学》
CAS
CSCD
2000年第10期843-844,共2页
Guangdong Medical Journal
基金
广东省科委九五重点攻关项目基金!资助 (编号 :1 9952 9)
