目的主要研究患有鼻咽癌患者在放疗前后的变化,同时分析鼻咽癌疾病的发病特点以及其病情发展及转归的过程。方法我院选择了56例到我院就诊的患有鼻咽癌的患者,对其放疗前、后6个月到三年时间的临床资料进行分析总结。结果这组患者中有17例患者同时患有鼻窦炎,患病时间在1～10个月不等。进行放疗后出现一些鼻疾病,例如放射性鼻炎、化脓性鼻窦炎、放射性鼻炎、以及鼻粘连等,这四种疾病的发病率明显高于放疗前,差异具有统计学意义,很少有患者出现鼻大量出血的现象,这在统计学上无差异。结论患有鼻咽癌的患者多伴发其他鼻疾病,在进行放疗前主要见于鼻窦炎,在放疗后主要见于多种鼻疾病,例如放射性鼻炎、鼻粘连等,在经过6个月的治疗期后,鼻疾病渐渐缓解,有些彻底消失,但是萎缩性鼻炎缓解症状不明显,甚至未见效果。 Objective To study the changes of patients with nasopharyngeal carcinoma before and after radiotherapy, and to analyze the characteristics of nasopharyngeal carcinoma and its progression and prognosis. Methods Fifty-six patients with nasopharyngeal carcinoma who were treated in our hospital were selected and their clinical data of 6 months to 3 years after radiotherapy were analyzed and summarized. Results Seventeen patients in this group had sinusitis at the same time, ranging from 1 to 10 months. Some nasal diseases such as radiation rhinitis, purulent sinusitis, radiation rhinitis and nasal adhesions occurred after radiotherapy. The incidence of these four diseases was significantly higher than that before radiotherapy, and the difference was statistically significant. Few patients had nasal diseases The phenomenon of massive bleeding, which is statistically no difference. Conclusions Most patients with nasopharyngeal carcinoma often have other nasal diseases. They are mainly found in sinusitis before radiotherapy and mainly in various nasal diseases such as radiation rhinitis and nasal adhesions after radiotherapy. After 6 months of treatment, After the nasal disease gradually eased, and some completely disappear, but atrophic rhinitis relieve symptoms is not obvious, and even no effect.