鼻咽清创术在鼻咽癌放疗后鼻咽坏死并反复出血的应用

山东大学耳鼻喉眼学报 ›› 2009, Vol. 23 ›› Issue (4): 21-23.

鼻咽清创术在鼻咽癌放疗后鼻咽坏死并反复出血的应用

张剑利王跃建陈伟雄

中山大学附属佛山医院耳鼻咽喉科, 广东佛山 528000

收稿日期:2009-06-22 修回日期:2009-08-15 出版日期:2009-08-16 发布日期:2009-08-16
作者简介:张剑利（1975- ），男, 主治医师，主要从事头颈肿瘤及咽喉疾病的研究。 Email:zjli@fsyyy.com

Debridement for repeated epistaxis in patients with radiation-related nasopharyngeal necrosis

ZHANG Jian-Li, WANG Yue-Jian, CHEN Wei-Xiong

Department of Otorhinolaryngology & Head and Neck Surgery, Affiliated Foshan Hospital of Sun Yet-sen University, Foshan 528000, Guangdong, China

Received:2009-06-22 Revised:2009-08-15 Online:2009-08-16 Published:2009-08-16

摘要/Abstract

摘要：

目的探讨鼻咽清创术治疗鼻咽癌放疗后鼻咽坏死致反复鼻出血的疗效。方法 8例鼻咽癌放疗后因鼻咽坏死引起鼻出血，在常规止血效果不理想的情况下，采用鼻咽清创术治疗，并分析其效果。结果 8例均未出现严重的手术并发症，1例因再次出血死亡，7例出血得到控制，随诊情况良好。结论在常规止血效果不佳的情况下，鼻咽清创术可有效治疗鼻咽癌放疗后鼻咽坏死所致鼻出血。

关键词: 鼻咽癌；放射治疗；鼻出血

Abstract:

Objective To investigate the effect of debridement for repeated epistaxis in patients with radiationrelated nasopharyngeal necrosis. Methods 8 cases of radiationrelated nasopharyngeal necrosis, which were admitted for repeated epistaxis, were treated with debridement. Results 7 cases werecured and 1 patient died of massive nasopharyngeal hemorrhage. Conclusions Forcases of radiation-related nasopharyngeal necrosis, if nasal packing can not control it, debridement may be an effective way.

Key words: Nasopharyngeal carcinoma; Radiotherapy; Epistaxis

中图分类号:

R765.23

张剑利王跃建陈伟雄. 鼻咽清创术在鼻咽癌放疗后鼻咽坏死并反复出血的应用[J]. 山东大学耳鼻喉眼学报, 2009, 23(4): 21-23.

ZHANG Jian-Li, WANG Yue-Jian, CHEN Wei-Xiong. Debridement for repeated epistaxis in patients with radiation-related nasopharyngeal necrosis[J]. JOURNAL OF SHANDONG UNIVERSITY (OTOLARYNGOLOGY AND OPHTHALMOLOGY), 2009, 23(4): 21-23.

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