纤维鼻咽镜在鼻咽疾病中的诊断价值(附4725例临床床分析)

THE ROLE OF FIBREOPTIC NASOPHARYNGOSCOPY IN DIAGNOSIS OF NASOPHARYNGEAL DISEASES

报告4725例纤维鼻咽镜的检查结果，镜下诊断为慢性炎症、正常鼻腔鼻咽、鼻咽癌分别占6597％、14．41％和10．96％，居前三位。纤维鼻咽镜确诊率及对慢性炎症、鼻咽癌确诊率显著高于间接鼻咽镜．P值＜0，001。对鼻咽囊肿的诊断，纤维鼻咽镜确诊率高于间接鼻咽镜，但无统计学差异。提出纤维鼻咽镜对鼻咽鼻腔疾病的诊断尤其是结合VCA－Iga检查对鼻咽癌的早期诊断具有较高的价值。

4725 cases were examined by fibreoptic nasopharyngo-scopy. The incidence of chronic inflammation and nasopha-ryngeal carcinoma was 65.97%and 10.96%respectively.Teh ratio of normal nasal cavity and nasopharynx was 14.4l %. Total diagnostic coincidence with fibreoptic na-sopharyngoscopy and biopsy, and the diagnostic coincidenceof chronic inflammation and nasopharyngeal carcinoma werehigher than that with indirect rhinoscopy.There was differ-ence in statistice. We point out that the fibreoptic na-sopharyngoscopy has higher value for diagnosis of nasal cavityand nasopharyngeal disease especlally for earlier diagnosis ofnasopharyngeal earcinoma with VCA-IgA.