82例鼻咽癌患者的首发症状与诊断分析

The initial symptom and diagnostic analysis of 82 cases of patients with nasopharyngeal carcinoma

目的探讨鼻咽癌的首发症状、诊断与误诊疾病的关系,从中吸取经验教训,减少误诊,提高诊断符合率。方法对82例鼻咽癌患者的首发症状、诊断与误诊疾病进行综合分析,并讨论其误诊原因及防范措施。结果该组观察的82例鼻咽癌患者,误诊45例,误诊率54.88%。结论加大鼻咽癌早期症状宣传力度,提高各级医务人员对鼻咽癌的认识,早期诊断治疗,认真分析首发症状,仔细检查,减少误诊,是提高鼻咽癌早期诊断率和治愈率的关键。

[ Objective] To explore the relationship of the initial symptom, the diagnosis and the misdiagnosis dis- ease of nasopharyngeal carcinoma and decrease the misdiagnosis as well as improve the diagnostic coincidence rate. [Methods] The initial symptom, the diagnosis and the misdiagnosis disease in 82 cases of patients with nasopha- ryngeal carcinoma as well as discuss the causes and precautions of misdiagnosis were comprehensively analyzed. [ Results ] Among the 82 cases of patients with nasopharyngeal carcinoma, there are 45 cases misdiagnosis, the rate of misdiagnosis reached 54.88%. [ Conclusions ] Through increasing the publicity of initial symptom of nasopharyn- geal carcinoma, improving the recognition of nasopharyngeal carcinoma for medical personnel at all levels, carrying out early diagnosis and treatment, careful analyzing the initial symptom, scrutiny and decreasing misdiagnosis, we can crucially improve the early diagnosis rate and the cure rate of nasopharyngeal carcinoma.