摘要
目的分析在门诊治疗耳鼻喉疾病中运用耳鼻喉科内窥镜的效果,为疾病诊疗提供参考。方法选择本院在2020年8月-2021年8月期间收治的153例耳鼻喉疾病患者(诊疗资料完整且自愿配合研究)为探究主体,其中61例耳部疾病,49例鼻部疾病,43例喉部疾病,全部患者均在额镜检查后接受耳鼻喉科内窥镜检查,分析两种检查方式的结果。结果(1)分析鼻部疾病检查结果发现,鼻部内窥镜检查符合率为91.84%,误诊患者有4例,误诊率是8.16%,未确诊待查13例,后期鼻部内窥镜检查中发现4例鼓膜小穿孔,5例分泌性中耳炎未查出,4例外耳道胆脂瘤误诊,这些均是额镜无法实现的。(2)分析耳部疾病检查结果发现,耳部内窥镜检查符合率为90.16%,误诊患者有6例,误诊率是9.84%,未确诊待查21例,后期耳部内窥镜检查中发现14例早期鼻息肉,7例早期鼻咽癌,这些均是额镜无法实现的。(3)分析喉部疾病检查结果,电子喉镜检查符合率为93.02%,误诊患者有3例,误诊率是6.98%,未确诊待查15例,后期电子喉镜检查中发现8例咽喉鱼刺异物,7例早期声门癌,这些均是额镜无法实现的。结论在门诊治疗耳鼻喉疾病中运用耳鼻喉科内窥镜具有重要价值,可明显提升检查准确度;误诊、漏诊情况较为常见,可为临床诊疗疾病提供可靠参考,能够在科室广泛推广。
Objective To analyze the effect of otolaryngology endoscope in outpatient treatment of otolaryngology diseases,and to provide reference for disease diagnosis and treatment.Method A total of 153 patients with otolaryngological diseases admitted to our hospital from August 2020 to August 2021(with complete diagnosis and treatment data and voluntary cooperation in the study)were selected as subjects of study,including 61 patients with ear diseases,49 patients with nasal diseases,and 43 patients with laryngeal diseases.All patients received endoscopy in otolaryngological department after frontoscopy,and the results of the two examination methods were analyzed.Results(1)Analysis of the results of nasal disease examination showed that the consistency rate of nasal endoscopic examination was 91.84%,there were 4 cases of misdiagnosed patients,the misdiagnosis rate was 8.16%,13 cases were not confirmed to be examined,4 cases of small perforation of tympanic membrane were found in late nasal endoscopic examination,5 cases of secretory otitis media were not detected,and 4 cases of external auditory canal cholesteroma were misdiagnosed,all of which could not be realized by frontoscopy.(2)Analysis of the results of ear disease examination showed that the coincidence rate of ear endoscopy was 90.16%,there were 6 cases of misdiagnosed patients,the misdiagnosis rate was 9.84%,21 cases were not confirmed to be examined,14 cases of early nasal polyps and 7 cases of early nasal pharyngeal cancer were found in late ear endoscopy,which could not be realized by frontoscopy.(3)Analysis of the results of the examination of laryngeal diseases showed that the coincidence rate of electronic laryngoscopy was 93.02%,3 cases were misdiagnosed,the misdiagnosis rate was 6.98%,and 15 cases were undiagnosed to be examined.In the late electronic laryngoscopy,8 cases of foreign body of fishbone in the throat and 7 cases of early glottic cancer were found,which could not be realized by the frontoscopy.Conclusion The application of otolaryngology endoscope in outpatient treatment of otolaryngology diseases is of great value,which can significantly improve the accuracy of examination.Misdiagnosis and missed diagnosis are more common,which can provide reliable reference for clinical diagnosis and treatment of diseases,and can be widely promoted in the department.
作者
廉丽丽
Lian Lili(Licheng District Hospital of Traditional Chinese Medicine,Jinan,Shandong,250100,China)
出处
《中国医学文摘（耳鼻咽喉科学）》
2024年第5期34-36,共3页
Chinese Medical Digest(Otorhinolaryngology)
关键词
耳鼻喉科内窥镜
门诊
耳鼻喉疾病
效果
Otolaryngology endoscope
Outpatient service
Ear nose and throat diseases
Effect
