秦岭,陈甲信,张丽香,王铁建,韩敏,卢晓玲.鼻咽癌病人放疗前后多种诱发电位的比较研究[J].中华放射医学与防护杂志,2001,21(4):301-304
鼻咽癌病人放疗前后多种诱发电位的比较研究
Study on change of multimodally evoked potentials in nasopharyngeal carcinoma patients after radiotherapy
投稿时间:2000-08-29  
DOI:
中文关键词:  鼻咽癌  放射损伤  诱发电位
英文关键词:Nasopharyngeal carcinoma  Radiation-injury  Evoked potential
基金项目:广西壮族自治区科研研究与技术开发计划资助项目(9631062)
作者单位
秦岭 530021 南宁, 广西壮族自治区人民医院神经内科 
陈甲信 广西壮族自治区人民医院肌电诱发电位室 
张丽香 广西壮族自治区人民医院放疗科 
王铁建 530021 南宁, 广西壮族自治区人民医院神经内科 
韩敏 530021 南宁, 广西壮族自治区人民医院神经内科 
卢晓玲 广西壮族自治区人民医院肌电诱发电位室 
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中文摘要:
      目的 了解鼻咽癌 (NPC)病人放疗中、放疗后射线是否会引起多种诱发电位的改变.方法 对 48例初次放疗的NPC病人在放疗前与放疗后各阶段进行脑干听觉诱发电位 (BAEP),短潜伏期体感诱发电位 (SLSEP),图形翻转视觉诱发电位 (PRVEP)追踪研究.结果 与放疗前对比,本组病人放疗后不同的阶段BAEP、SLSEP、PRVEP某些波的潜伏期与波间潜伏期均值和放疗前的检测结果比较差异有显着性.结论 NPC病人接受放射治疗后,早期即可引起神经系统传导功能障碍,诱发电位技术可以反映这种传导功能障碍的存在,而BAEP、SLSEP、PRVEP 3种诱发电位协同应用,可及时发现射线对听感觉、体感觉、视觉传导通路损伤.
英文摘要:
      Objective To investigate possible changes of multimodally evoked potentials in nasopharyngeal carcinoma patients after radiotherapy. Methods Altogether 48 nasopharyngeal carcinoma patiens receiving primary conventional external beam irradiation were examined before and after radiotherapy to determine their brainstem auditory-evoked potential(BAEP),short-latency somatosensory-evoked potential(SLSEP)and pattern reversal visual-evoked potential(PRVEP). Results In comparion with the conditions before radiotherapy,in different periods after radiotherapy abnormal peak latency and interval latency difference were found in BAEP,SLSEP and PRVEP. Conclusion Nasopharyngeal carcinoma after radiotheray may cause abnormal function of nerve conduction in early periods,which can be showed by BAEP,SLSEP,PRVEP,and injury can be timely detected if the three evoked potentials are used together.Thus we suggest BAEP,SLSEP,PRVEP should be examined in nasopharyngeal carcinoma patients during and after the radiotherapy so as to find early damage in auditory somatosensory and visual conduction pathways.
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