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晚期鼻咽癌诱导化疗前后的听阈分析

An Pure tone Audiogram Analysis of Advanced Nasopharyngcal Carcinoma Before and After Induce Chemotherapy

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【作者】 朱秋梅梁建平陈蒸贤覃杨达

【Author】 Zhu Qiu mei; et al (Peoples Hospital of Guang xi Zhuang Autonomus Region )

【机构】 广西区人民医院耳鼻喉科

【摘要】 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。

【Abstract】 Carboplatin and 5 Fluorouracil were used in the chemotherapy of 22 cases advanced NPC. PTA was test before and after chemotherapy. The result showed that 2 cases 2 ears PTA in creasing 15~20dB between 4~8K Hz. The hearing loss rates were 4.6%. The Comparison of PTA average before and after chemotherapy was nonsignificant (P>0.05).Refeyencing some articles and analysising the test of PTA. the effect carboplatin and 5-Fluorouracil was the same, but the toxicity of carboplatin of internat ear was little. Both of the hearing loss were high-frequency.

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