鼻咽部淋巴组织形态分布分析

Analysis of morphological Distribution for nasopharynx lymph tissue

目的 探讨鼻咽部淋巴组织形态分布与耳鼻咽喉疾病的关系。 方法 用纤维鼻咽喉镜对800例进行鼻咽部检查，分为疾病Ⅰ组：以耳鼻症状为主243例；疾病Ⅱ组：以咽喉症状为主357例；对照组：无耳鼻咽喉症状健康人200例。肉眼将鼻咽部淋巴组织分为A、B、C、D 4型。疾病组鼻咽部活检245例，对照组200例全部行鼻咽部活检。 结果 鼻咽部分布分型中，A型在疾病Ⅱ组之间无明显差异；B型，疾病Ⅰ组多于疾病Ⅱ组；C型，疾病Ⅱ组多于疾病Ⅰ组；疾病一组14例D型中发现8例鼻咽癌；疾病Ⅱ组无1例D型。 结论 耳鼻症状与鼻咽部淋巴组织增生有一定关系，A、B、C、D四型的病理学检查与鼻咽部淋巴组织分型是相符合的。

Objective To investigate the relationship between the morphological distribution for nasopharynx lymph tissue and otorhinolaryngologic disease． Methods 800 cases were examined by pharyngorhimoscopy． All cases were divided into three groups disease group Ⅰ included 243 cases with major ear－nose symptons disease group Ⅱ included 357 cases with major throat symptoms control group included 200 normal cases． Nasopharynx lymphoid tissue were divided into four types A B C and D by naked eye． In disease groups 245 cases were accepted biopsy． In control group all of 200 cases were accepted biopsy． Results In nasopharynx lymphoid tissue type there was no significant differences in the number of type A between two disease groups the number of type B in disease group Ⅰ were more than those of disease group Ⅱ the number of type C in disease group Ⅱ were more than those of disease group Ⅰ． 8 cases nasopharyngeal carcinoma were found in 14 cases type D in disease group Ⅰ while no case of type D was found in disease Ⅱ Conlusion Ear－nose sympton is related to nasopharynx lymphoid tissue hyperplasia． The result of pathological exmination for type A B C and D is accordance with nasopharynx lymph tissue types．