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本文对22例晚期鼻咽癌用卡铂+5──氟脲嘧啶联合诱导化疗,化疗前后纯音听阈测定。结果:22例鼻咽癌患者的44耳中,诱导化疗后2例2耳在4K~8KHz阈值升高15~25dB,听力受损率4.6%;22例鼻咽癌患者44可诱导化疗前后的听阈均值对比,无显著性差异(P>0.05)。认为卡铂的抗肿瘤作用效果与顺铂基本相同,但其耳毒性较小,听力损害累及高频。
In this paper, 22 cases of advanced nasopharyngeal carcinoma with carboplatin + 5 ─ ─ fluorouracil combined with chemotherapy, before and after chemotherapy pure tone audiometry. Results: In 44 ears of 22 patients with nasopharyngeal carcinoma, 2 cases of 2 ears after induction chemotherapy increased 15 ~ 25dB at threshold of 4K ~ 8KHz and hearing loss rate was 4.6%. Twenty-two patients with nasopharyngeal carcinoma could induce chemotherapy Before and after hearing threshold mean comparison, no significant difference (P> 0.05). The anticancer effect of carboplatin is considered to be basically the same as that of cisplatin, but less toxic to ototoxicity and high frequency of hearing loss.