鼻咽癌误诊10例资料分析  

The misdiagnosis and relative literature review of nasopharyngeal carcinoma of 10 cases

作　　者：王延生[1] 贡振扬[1] 张锁生[1] 

机构地区：[1]济南军区总医院耳鼻咽喉科,山东济南250031

出　　处：《实用医药杂志》2007年第10期1175-1177,共3页Practical Journal of Medicine & Pharmacy

摘　　要：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 explore clinical characteristics and early diagnosis of nasopharyngeal carcinoma.Methods 11 cases with misdiagnostic nasopharyngeal carcinoma were analyzed retrospectively, among which 7 patients were misdiagnosed for nasal septum deviation and/or chronic rhinitis, 3 patients for catarrhal otitis media, and 1 patient for malignant lymphatic tumor. Results Before the correct diagnoses were made clearly among all the misdiagnostic patients, 2 patients undertook submucous resection of nasal septum and partial inferior turbinectomy, 1 patient undertook partial inferior turbinectomy, one patient was treated with Nd： YAG laser, and 2 patients were treated as catarrhal otitis media for 8 and 12 months respectively; the misdiagnostic period was from 10days to 12months. The average period of misdiagnosis was about 93.5days.Conclusion If patients have the symptoms such as nasal obstruction,nasal discharge with blood and plugged ear feeling for about 10days-12months, pathological changes located in nasopharynx should be taken into full account alertly and the nasopharynx patients should be examined carefully by making good use of sinoscope in order to avoid being misdiagnosed.

关 键 词：鼻咽癌 鼻内镜 鼻塞 

分 类 号：R730.55[医药卫生—肿瘤]