摘要
目的:探讨经鼻腔和口咽进行鼻咽活检的效果。方法:125例鼻咽癌患者,通过硬性鼻内镜和纤维鼻咽镜进行鼻咽部检查,纤维鼻咽镜从口咽置入60例、硬性鼻内镜从鼻腔置入65例。结果:硬性鼻内镜经鼻腔1次活检成功确诊56例(86.2%),再次活检确诊9例;纤维鼻咽镜经口咽1次活检成功确诊55例(91.7%),再次活检确诊5例。经口咽活检有6例(10.0%)鼻腔黏膜损伤,鼻腔置入活检钳活检并发鼻腔黏膜损伤32例(49.2%)。结论:鼻内镜和纤维鼻咽镜均能引导鼻咽活检准确取材,经口咽活检可减少鼻腔黏膜损伤,避免鼻前庭、鼻腔的细菌污染伤口。
Objective; To investigate the nasopharyngeal biopsy effect through the nasal cavity and oropharynx. Methods： 125 cases of patients with nasopharyngeal carcinoma were examined through rigid nasal endoscope and nasopharyngo-fiberoscope, of which, 60 cases were performed biopsy with naso-pharyngeal biopsy forceps from the oropharynx, another 65 from the nasal cavity. Results： 56 patients were biopsy diagnosed for the one time with the rigid endoscopy through nasal cavity （86.2%）, another 9 cases were confirmed by further biopsy; while 55 patients were biopsy diagnosed for the one time with nasopharyngo-fiberoscope from oropharynx （91.7%）, and 5 were confirmed by rebiopsy. 6 cases （10.0%） examined from oropharynx suffered from na-sal mucosa injury, 32 cases （49.2;） were complicated by nasal mucosa injury. Conclusion. Nasal endoscopy and fibro nasopharyngoscope can guide the nasopharyngeal biopsy accurately, transoral biopsy may reduce the nasal mucosa injury, avoid the nasal vestibule and the nasal bacterial contamination of the wound.
出处
《华夏医学》
CAS
2013年第2期286-288,共3页
Acta Medicinae Sinica
基金
广西卫生厅科研课题(项目编号:Z2011030)
关键词
鼻咽肿瘤
纤维鼻咽镜
鼻内镜
活检
nasopharyngeal neoplasms
nasopharyngo-fiberoscope
nasal endoscope
biopsy
