作者sigon (Com-ba-de!!)
看板Anti-Cancer
标题Re: [问题] 单侧耳鸣
时间Wed Mar 18 14:49:31 2009
我下面转一篇刚好搜寻到的资讯。
最近三个星期我也是罹患耳鸣。所以找了一下资料。
希望下面的资讯--只是统计而已--能够给你一些帮助。
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SOURCE: J. of Otolaryngol Head Neck Surg. 2008 Jun;37(3):362-5.
TITLE: Early recognition of nasopharyngeal cancer in adults with only
otitis media with effusion.
(中耳积水成人病患的鼻咽癌早期发现)
AUTHOR: Ho KY, Lee KW, Chai CY, Kuo WR, Wang HM, Chien CY.
Department of Otolaryngology, Kaohsiung Medical University Hospital, and
Department of Otolaryngology, Faculty of Medicine, College of Medicine,
Kaohsiung Medical University, Kaohsiung, Taiwan
OBJECTIVE: To assess the probability of nasopharyngeal carcinoma (NPC) being
present among adults who appeared to suffer only from otitis media with
effusion (OME). DESIGN AND SETTING: The clinical features of 87 adults
suffering from OME but who demonstrated no other apparent symptoms and signs
suggestive of NPC at the Department of Otorhinolaryngology, Kaohsiung Medical
University Hospital, between January 2003 and December 2004, were analyzed. A
routine nasopharyngeal biopsy was performed. RESULTS: Five patients revealed
NPCs (four nonkeratinizing carcinomas and one squamous cell carcinoma). OME
was deemed to have resulted from upper respiratory infection in 20 patients
(23.0%), chronic paranasal sinusitis in 15 patients (17.3%), allergic
rhinitis in 16 patients (18.4%), NPC in 5 patients (5.7%), various other
known etiologies in 11 patients (12.6%), and unknown etiologies in 20
patients (23.0%). The incidence of NPC among adults suffering from OME but
featuring no other symptoms and signs suggestive of NPC was 5.7% (5 of 87
patients). Such a figure appeared to be greater than that in some other
reports because NPC tends to feature a greater prevalence in Taiwan.
Therefore, biopsy of the postnasal space for adults who appear to feature
only OME when NPC is strongly suspected is necessary for the early diagnosis
of NPC. CONCLUSIONS: We conclude that Taiwanese adults with only OME, the
cause of which is unclear, should be subjected to an appropriate medical
examination and biopsy of the nasopharynx to exclude NPC.
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大意是说,只有中耳积水症状的成人病患当中,有5.7%其实是肇因於鼻咽癌。
而绝大部分是因为肇因於上呼吸道感染、慢性鼻窦炎、过敏等。
不过,作者在结论中说,在台湾的成人中耳积水病患,若查不出主要病灶,
则应该做切片等检查,以排除鼻咽癌的可能。
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单耳耳鸣是中耳积水的一项常见症状(但病非耳鸣就一定是中耳积水)。
真的紧张就再去看个医师作检察查吧
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