论文部分内容阅读
目的:通过对3298例鼻咽癌病例的活检结果分析,介绍提高1次活检确诊率的方法和体会。方法:收集1991年12月至2004年12月间3298例患者经口间接鼻咽镜直视下取鼻咽活检术,最终经病理确诊为鼻咽癌患者的病历资料,进行分析。结果:1次活检则取得病理确诊的鼻咽癌3158例,确诊率为95.8%。结论:该方法鼻咽活检操作易行,用具简单,只要操作者熟悉鼻咽解剖,做好活检前准备,根据鼻咽肿物的大小、位置、表面特征,必要时术前借助CT等现代影象检查手段个体化活检,可望提高1次活检的确诊率。
OBJECTIVE: To analyze the biopsy results of 3298 cases of nasopharyngeal carcinoma and to introduce the methods and experiences to improve the rate of biopsy. Methods: From December 1991 to December 2004, 3298 patients undergoing nasopharyngeal biopsy with oral indirect nasopharyngectomy were enrolled in the study. The patient’s histopathological data were collected and analyzed. Results: A total of 3158 cases of nasopharyngeal carcinoma were confirmed by biopsy. The diagnosis rate was 95.8%. Conclusion: The method of nasopharyngeal biopsy is simple and easy to use, as long as the operator is familiar with the anatomy of the nasopharynx and prepares for the biopsy. According to the size, location and surface features of the nasopharyngeal tumor, if necessary, As a means of individual examination biopsy, is expected to increase the rate of diagnosis of a biopsy.