双进路法喉部活检术在喉癌诊断中的应用  

Application of bi-approach biopsy method in suspicious laryngeal cancer

作　　者：王珮华[1] 孙艺渊[1] 陈东[1] 石润杰[1] 汤君彦[1] 

机构地区：[1]上海第二医科大学第九人民医院耳鼻咽喉科,上海200011

出　　处：《上海第二医科大学学报》2004年第5期382-383,共2页Acta Universitatis Medicinalis Secondae Shanghai

摘　　要：目的 对喉部癌疑并伴有颈部疾患无法采用传统方法行活检术者,探索应用双进路法行活检术,以提高癌肿的检出率。方法 选择17例喉部癌疑患者,纤维喉镜经鼻插入作为光导和观察窗,弯式声带息肉钳经口插入行活检术。结果 喉部癌疑者行活检,病理切片示,1例为浸润癌,3例为原位癌,6例为不典型增生(癌前病变),1例为喉厚皮病(癌前病变),6例为慢性炎症。癌肿检出率为23.53％,癌前病变检出率为41.18％。结论 喉部癌疑者行双进路法活检较传统方法更具优点,具有临床应用价值。Objective To explore the new biopsy method, bi-approach method, in suspicious laryngeal cancer, accompanied with neck disease, so as to improve the detective rate of cancer. Methods Seventeen patients with suspicious laryngeal cancer were selected. Fiberlaryngoscope was inserted via nose as light guide and observation window and a curved vocal-cord-polyp-forceps was inserted via the oral cavity to take the biopsy. Results The pathological slices showed: 1 patient with infiltrative cancer, 3 carcinoma in situ, 6 atypism proliferation ( percancerous lesion), 1 pachydermia of larynx (percancerous lesion) and 6 chronic inflammation. Conclusion Bi-approach method is better than the classic method, and valuable clinically.

关 键 词：双进路法 喉部活检术 喉癌 检查方法 纤维喉镜 术式要点 

分 类 号：R739.65[医药卫生—肿瘤]