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鼻咽癌放疗后CT图象的变化 被引量:17

CHANGES IN CT SCANS AFTER RADIOTHERAPY FOR NASOPHARGNGEAL CARCINOMA (NPC)
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摘要 对1986~1988年治疗的105例鼻咽癌放疗前后做了临床和CT检查结果比较。55例放疗结束时临床检查肿瘤消退率为72.7%,而CT检查消退率为36.4%。23例放疗后1~4个月临床检查肿瘤消退率为60.3%,而CT肿瘤消退率为34.8%。13例放射治疗后5~9个月,临床和CT检查肿瘤消退率均为84.6%。放射治疗中,正常副鼻窦和鼻腔都可发生不同程度放射反应。上颌窦和蝶窦的放射反应可分为片状型、月牙型、环型和息肉型。筛窦放射反应以筛窦小房为单位,重者亦可多个小房融合成片状。鼻腔粘膜水肿,粘连。 Comparison of CT scans before and at the conclusion of radiotherapy in 105 NPC patients showed that the CR frequency in CT scans was 36.4% in contrast to 72.7% by clinical examination. After 1-4 months, they were 34.8% and 60.3% respectively. Radiation reaction to various degrees was observed in the nasal cavity and paranasal sinuses which could be classified into 4 types: plague-like, cresent, ring-like and polypoid. That in the ethmoidal cells could be so confluent as to extend into all the cells. Edema and adhesion were observed in the nasal mucosae.
出处 《中华放射肿瘤学杂志》 CSCD 1992年第4期11-16,71,共7页 Chinese Journal of Radiation Oncology
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