喉癌误诊原因分析

Analysis of misdiagnosis causes of laryngeal carinoma

目的:探讨喉癌延误诊断的原因和避免延误诊断的方法.方法:回顾我院1994年～1997年收治喉癌53例中有明显误诊史者28例,并分析其误诊原因.结果:本组误诊率为52.8%.误诊主要原因有:(1)早期喉癌病灶隐蔽、症状轻微;(2)部分医务人员对喉癌认识不足、警惕性不高;(3)对有咽喉不适、声嘶或颈部肿块者未常规行喉镜检查.结论:强调提高医务人员对喉癌的认识和诊断水平,对出现喉癌可疑症状和体征者,应及时行喉镜检查,发现可疑病变应钳取活检.

Objective:To stduy misdiagnosis causes of laryngeal carcinoma and methods to advoid them. Methods:53 cases of laryngeal carcinoma recieved treatment from 1994 to 1997, among which 28 cases had ever been misdiagnosed. All were observed and analysed. Results:Misdiagnosis rate was 52.8% (28/53). Misdiagnosis of laryngeal carcinoma resulted from unobvious symptoms in early stage, lack of knowledge of laryngeal carcinoma in some madical staff and no laryngoscopy in patients complaining of larygeal malaise, hoarseness or neck masses. Conclusion: Level of realization and diagnosis of laryngeal carcinoma in some medical staff must be improved. If complained symptoms and physical signs were suspectable, laryngoscopy and/or biopsy should be considered.