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目的探讨鼻内镜下活检术诊断鼻咽癌的临床应用价值。方法用间接鼻咽镜或纤维鼻咽镜未能诊断的鼻咽癌病例28例,通过鼻内镜检查活检。结果鼻内镜下一次性取材病理检查确诊占85.7%(24/28);二次性取材病理检查确诊占14.3%(4/28)。结论鼻内镜下鼻咽部活检阳性率高于间接鼻咽镜和纤维鼻咽镜下的鼻咽部活检。
Objective To investigate the clinical value of endoscopic biopsy in the diagnosis of nasopharyngeal carcinoma. Methods Nasopharyngeal or fiber nasopharyngoscopy failed to diagnose nasopharyngeal carcinoma cases of 28 cases, by endoscopic biopsy. Results Nasal endoscopy was diagnosed by one-time pathological examination (85.7%, 24/28). Secondary pathological examination confirmed 14.3% (4/28). Conclusion The positive rate of nasopharyngeal biopsy under endoscopy is higher than nasopharyngeal biopsy under indirect nasopharyngoscopy and fiber nasopharyngectomy.