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目的 :总结纤维支气管镜在鼻咽部检查中的重要意义 ,探讨鼻咽癌 32例漏诊、误诊的原因。方法 :用日本欧林巴斯BF -P30型纤维支气管镜行鼻咽部检查确诊鼻咽癌 197例 ,对其中临床误诊、漏诊 32例进行分析。结果 :32例中活体组织取检阳性 31例 ;针吸细胞学阳性 30例 ;细胞涂片阳性 2 2例。结论 :纤维支气管镜在鼻咽部检查获得细胞学诊断上具有重要的价值
OBJECTIVE: To summarize the significance of bronchofibroscopy in nasopharyngeal examination and to explore the causes of misdiagnosis and misdiagnosis of 32 cases of nasopharyngeal carcinoma. Methods: Ninety-seven nasopharyngeal carcinoma patients were diagnosed nasopharynx by BF-P30 bronchoscope in Olympus, Japan, and 32 cases were misdiagnosed and missed. Results: In 32 cases, 31 cases were positive for biopsy, 30 cases were positive for needle aspiration cytology and 22 cases were positive for cell smear. Conclusion: Fiberoptic bronchoscopy is valuable in obtaining cytological diagnosis of nasopharynx