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目的探讨鼻咽癌放疗后放射性脑病的误诊原因。方法回顾性分析我院从2000至2008年收治的32例外院误诊的鼻咽癌放疗后放射性脑病患者的CT和(或)MRI表现和临床表现,总结放射性脑病的诊断要点和误诊原因。结果全部病例均经临床或病理证实为放射性脑病。结论鼻咽癌放疗后放射性脑病发生率较高,误诊率也髙,诊断需要有足够的经验和对本病有足够的认识。
Objective To investigate the misdiagnosis of radiation encephalopathy after radiotherapy for nasopharyngeal carcinoma. Methods The CT and / or MRI manifestations and clinical manifestations of 32 cases of nasopharyngeal carcinoma after radiotherapy were retrospectively analyzed from 32 cases of misdiagnosis in our hospital from 2000 to 2008, and the diagnostic points and causes of misdiagnosis of radiation encephalopathy were summarized. Results All cases were confirmed as radiological encephalopathy by clinical or pathological examination. Conclusion The incidence of radiation encephalopathy after radiotherapy of nasopharyngeal carcinoma is high, the misdiagnosis rate is also high, the diagnosis needs sufficient experience and sufficient knowledge of this disease.