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我科自2001年1月以来,应用弹枪式穿刺针为16例难以确诊的鼻咽粘膜下肿物作穿刺,效果满意,报告如下。1资料与方法1.1临床资料 16例中,男10例,女6例;年龄23～71岁,平均49.8岁。均行CT或MR检查,提示鼻咽粘膜下有占位病变。间接鼻咽镜或纤维镜下见鼻咽部不对称、隆起,但粘膜光滑。3例EBVCA—IgA阴性,其余13例均阳性。16例患者曾在纤维鼻咽镜或间接鼻咽镜下做鼻咽活检1～2次,均未确诊。
Our department since January 2001, the application of shotgun needle for the 16 cases of nasopharyngeal difficult to diagnose submucosal puncture, the effect is satisfactory, the report is as follows. 1 Materials and Methods 1.1 Clinical data 16 cases, 10 males and 6 females; aged 23 to 71 years, mean 49.8 years. All underwent CT or MR examination, suggesting that nasopharyngeal mucosal space occupying lesions. Indirect nasopharyngeal or endoscopic nasal pharyngeal see asymmetry, uplift, but the mucous membrane is smooth. 3 cases of EBVCA-IgA negative, the remaining 13 cases were positive. 16 patients had nasopharyngeal biopsy under the fiber nasopharyngeal or indirect nasopharyngeal biopsy 1 to 2 times, were not diagnosed.