摘要
目的探讨鼻咽癌放疗后放射性脑病的临床特点及其预防和治疗对策。方法回顾性分析36例治疗后发生放射性脑病的鼻咽癌的资料。结果随访32例中,患者接受治疗后症状均有不同程度改善,19例病情加重而多次接受入院治疗,6例在出现神经症状后9-52个月死亡,2例因出现肺部感染死亡。现生存24例。结论鼻咽癌放疗后放射性脑病临床确诊容易,但治疗手段有限,效果欠佳。根据各种相关因素制定对应的有效预防措施是防治鼻咽癌放疗后放射性脑病的关键。
Objective To explore the clinical characteristics,prevention and treatment of radiation encephalopathy after radiotherapy of nasopharyngeal carcinoma（NPC）.Methods 36 NPC patients that occurred radiation encephalopathy after radiotherapy were analyzed retrospectively.Results 32 cases were followed up,all the patients＇ symptoms were improved in various degrees,19 cases were treated many times,6 cases died 9-52 months after nervous syndrome appeared,and 2 cases died of pulmonary infections.24 cases were still alive.Conclusion The final diagnosis of radiation encephalopathy is not difficult,but the therapeutic tool is rare,and the effects are limited.Setting effective preventive measures according to various related factors are the key to the prevention and treatment of radiation encephalopathy after radiotherapy for nasopharyngeal carcinoma.
出处
《肿瘤基础与临床》
2010年第1期40-42,共3页
journal of basic and clinical oncology
关键词
鼻咽癌
放疗
放射性脑病
nasopharyngeal carcinoma
radiotherapy
radiation encephalopathy
