摘要
目的:探讨纤维鼻咽镜检查在鼻咽癌诊治中的实际临床意义。方法:利用我院收治2001年10月16日～2004年5月1日的鼻咽癌患者(包括初治359例,复发54例)共413例进行纤维鼻咽镜检查与同期间接鼻咽镜活检、CT/MRI资料对比分析。结果:本组患者一次活检确诊率及经治疗后病灶局部残留检出率在用纤维鼻咽镜检查和间接鼻咽镜活检分别为92.75%(333/359)、83.84%(301/359)和88.88%(16/18)、50.0%(9/18),P值均为0.025;在鼻咽癌复发的患者,用纤维鼻咽镜检出率为88.89%(48/54),间接鼻咽镜活检出率为75.92%(41/54),差异有统计学意义,P=0.05。用纤维鼻咽镜检查与CT/MRI对比以上资料差异无统计学意义。结论:纤维鼻咽镜检查对于鼻咽癌的诊治能提供可靠的依据,值得临床上推广应用。
OBJECTIVE:To investigate the evaluation of direct-laryngoscope on diagnosing and treating of nasopharyngeal carcinom (NPC). METHODS: To analyse and compare with indirect-laryngoscope, computer tomography (CT) or magnetic resonance imagine (MRI) scanning nasopharyx of 413 patients with NPC (359 untreated cases and 54 recurrent cases) from October 2001 to May 2004, the efficacy of if direct-laryngoscopy was assessed. RESULTS: The correctly diagnosing rate of one-time with direct-laryngoscopic or indirect-larynoscopy biopsy on untreated or recurrent tumors were 92.75%(333/359), 83.84%(301/359), P=0.0 025; and 88.88%(16/18), 50.0%(9/18),P=0.025,respectively. In relapsed cancers, the correctly diagnosing rates of direct-larynoscopy or indirect-laryngoscopy were 88.89%(48/54) and 75.92%(41/54), P=0.05, respectively. However, contrast CT or MRI scanning, it was nit differences profoundly at correct diagnosing rate in tumors to direct-laryngoscopy. CONCLUSIONS: It is suggested that the direct-laryngoscopy on diagnosing of NPC is a feasible technique and should be used spreadly.
出处
《肿瘤防治杂志》
2005年第12期917-918,共2页
China Journal of Cancer Prevention and Treatment
