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目的:探讨放疗对鼻咽癌患者耳部结构及功能的影响。方法:选择无耳病及听力正常的163例鼻咽癌患者,于放疗前及放疗后不同时间点检测其耳部的结构及听功能状态。结果:随放疗时间及放疗结束后的时间延长,外耳道炎、分泌性中耳炎及化脓性中耳炎的发生率增加,不同性质的耳聋的发生率及听力损失的程度亦逐渐增加。结论:放疗对鼻咽癌患者的耳部的结构及功能损伤明显,严重影响鼻咽癌患者生存质量。
Objective: To investigate the effect of radiotherapy on the structure and function of the ear in patients with nasopharyngeal carcinoma. Methods: 163 patients with nasopharyngeal carcinoma without ear disease and normal hearing were selected. The structure and auditory function of the ear were detected before radiotherapy and at different time points after radiotherapy. Results: The incidence of otitis externa, otitis media with otitis media and suppurative otitis media increased with the time of radiotherapy and the time after radiotherapy. The incidence of deafness and hearing loss increased gradually. Conclusion: The structure and function of the ears of patients with nasopharyngeal carcinoma are obviously damaged by radiotherapy, and the quality of life of patients with nasopharyngeal carcinoma is seriously affected.