中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2009年
12期
1015-1018
,共4页
喉镜检查%鼻咽%鼻咽疾病
喉鏡檢查%鼻嚥%鼻嚥疾病
후경검사%비인%비인질병
Laryngoscopy%Nasopharynx%Nasopharyngeal diseases
目的 评价放大喉镜在鼻咽部检查中的应用价值.方法 对耳鼻咽喉科就诊的6774例患者施行放大喉镜下鼻咽部检查,连接影像工作系统记录图像文字资料,可疑病变在放大喉镜或鼻内镜直视下取活检.结果 患者对放火喉镜的耐受率98.9%(6700/6774)明显优于间接鼻咽镜30.9%(2095/6774),差异有统计学意义(X~2=6872.75,P＜0.005).放大喉镜可清晰呈现鼻咽部多种病变,能及早发现可疑病变.615例曾分别用纤维鼻咽镜(192例)及鼻内镜(423例)检查显示鼻咽部隆起,放大喉镜检查发现其中418例双侧对称,表面光滑,未见异常,经病理检查证实为正常组织;其他197例于放大喉镜下也显示为鼻咽部隆起,经病理检查证实为各种良恶性病变.结论 放大喉镜检查光亮度强,分辨率高,能早期发现鼻咽部病变,诊断准确率和活检阳性率较高,对鼻咽部疾病诊断具有重要价值.
目的 評價放大喉鏡在鼻嚥部檢查中的應用價值.方法 對耳鼻嚥喉科就診的6774例患者施行放大喉鏡下鼻嚥部檢查,連接影像工作繫統記錄圖像文字資料,可疑病變在放大喉鏡或鼻內鏡直視下取活檢.結果 患者對放火喉鏡的耐受率98.9%(6700/6774)明顯優于間接鼻嚥鏡30.9%(2095/6774),差異有統計學意義(X~2=6872.75,P＜0.005).放大喉鏡可清晰呈現鼻嚥部多種病變,能及早髮現可疑病變.615例曾分彆用纖維鼻嚥鏡(192例)及鼻內鏡(423例)檢查顯示鼻嚥部隆起,放大喉鏡檢查髮現其中418例雙側對稱,錶麵光滑,未見異常,經病理檢查證實為正常組織;其他197例于放大喉鏡下也顯示為鼻嚥部隆起,經病理檢查證實為各種良噁性病變.結論 放大喉鏡檢查光亮度彊,分辨率高,能早期髮現鼻嚥部病變,診斷準確率和活檢暘性率較高,對鼻嚥部疾病診斷具有重要價值.
목적 평개방대후경재비인부검사중적응용개치.방법 대이비인후과취진적6774례환자시행방대후경하비인부검사,련접영상공작계통기록도상문자자료,가의병변재방대후경혹비내경직시하취활검.결과 환자대방화후경적내수솔98.9%(6700/6774)명현우우간접비인경30.9%(2095/6774),차이유통계학의의(X~2=6872.75,P＜0.005).방대후경가청석정현비인부다충병변,능급조발현가의병변.615례증분별용섬유비인경(192례)급비내경(423례)검사현시비인부륭기,방대후경검사발현기중418례쌍측대칭,표면광활,미견이상,경병리검사증실위정상조직;기타197례우방대후경하야현시위비인부륭기,경병리검사증실위각충량악성병변.결론 방대후경검사광량도강,분변솔고,능조기발현비인부병변,진단준학솔화활검양성솔교고,대비인부질병진단구유중요개치.
Objective To evaluate the usability of magnifying laryngoscopy for the diagnosis of nasopharyngeal diseases.Methods An analysis was made on the nasopharyngeal figure and letter data among 6774 cases undergone magnifying laryngoscopy.Among these cases,biopsy would be given to those with suspected lesion in the nasopharynx carried out under magnifying laryngoscopy or endoscope.Results Compliance of patients to magnifying laryngoscopy at the rate of 98.9%(6700/6774)was superior to indirect nasopharyngoscopy 30.9%(2095/6774).The difference was statistically significant(X~2=6872.75,P＜0.005).Magnifying laryngoscopy could clearly show a variety of diseases in nasopharynx,early detection of suspicious lesions.Among 615 cases,both fiber nasopharyngoscopy(192 cases)and nasal endoscopy(423 cases)with nasopharyngeal uplift were used,magnifying laryngoscopy found 418 cases bilateral symmetry,the surface smooth,no abnormal.The pathological examination confirmed normal tissue.Other 197 cases in the larger laryngoscopy also showed the uplift in nasopharynx by pathologically examination confirmed a variety of benign and maligant lesions.Conclusions Magnifying laryngoscopy with strong brightness,high resolution,can early detect the nasopharyngeal lesions,increase the diagnostic accuracy rate and biopsy-positive rate.Therefore,it is valuable for the diagnosis of nasopharyngeal diseases.
