论文部分内容阅读
目的探讨鼻咽癌的临床特点及早期诊断。方法回顾性分析了10例鼻咽癌误诊患者,其中7例误诊为鼻中隔偏曲和/或慢性鼻炎、3例误诊为卡他性中耳炎,1例误诊为恶性淋巴瘤。结果误诊患者中,2例行鼻中隔矫正双侧下鼻甲部分切除术,1例手术切除双侧部分下鼻甲,1例行YAG激光治疗,2例误诊患者按卡他性中耳炎分别治疗8和12个月。该组患者误诊时间为10～365d,平均129d。结论对10～365d内产生鼻塞、涕中带血和/或耳闷症状的患者,要考虑到鼻咽部有无病变并及时行鼻内镜检查,以免误诊。
Objective To investigate the clinical features and early diagnosis of nasopharyngeal carcinoma. Methods Retrospective analysis of 10 cases of misdiagnosis of nasopharyngeal carcinoma patients, including 7 cases misdiagnosed as nasal septum deviation and / or chronic rhinitis, 3 cases misdiagnosed as catarrhal otitis media, 1 case misdiagnosed as malignant lymphoma. Results Misdiagnosis of patients, 2 cases of nasal septum correction of bilateral inferior turbinate partial resection, 1 case of surgical resection of both sides of the inferior turbinate, 1 case of YAG laser treatment, 2 cases misdiagnosed patients with catarrhal otitis media were treated 8 and 12 month. Misdiagnosis of this group of patients for 10 ~ 365d, an average of 129d. Conclusions Patients with nasal obstruction, bloody and / or stuffy ears in 10 ~ 365 days should consider nasopharyngeal lesions and timely nasal endoscopy to avoid misdiagnosis.