论文部分内容阅读
目的分析在临床诊断上出现鼻咽癌延误诊断的原因。方法选取我科2009年5月～2011年9月期间收治的174例鼻咽癌病例的临床资料进行回顾分析。结果 174例鼻咽癌患者中有112例出现误诊,其误诊率为64.37%。结论鼻咽癌在临床上的首发症状与临床表现具有多样性,若鼻咽癌的继发症状转化为主要症状时,就会误导临床诊断进而忽视其原发症状;而鼻咽癌误漏诊最主要原因其实是由于鼻咽部位的组织学变化较大,再加之黏膜下的病变病灶较为隐蔽,因此极易隐藏病情导致首诊误诊。因此,需要在采取多种合理的临床检查手段进行综合分析的同时提高对此病的科学认识,以此来减少误漏诊,从而提高鼻咽癌的临床诊断率。
Objective To analyze the causes of delayed diagnosis of nasopharyngeal carcinoma in clinical diagnosis. Methods The clinical data of 174 cases of NPC treated in our department from May 2009 to September 2011 were retrospectively analyzed. Results A total of 112 nasopharyngeal carcinoma patients were misdiagnosed, with a misdiagnosis rate of 64.37%. Conclusion Nasopharyngeal carcinoma has many clinical manifestations and clinical manifestations. If the secondary symptoms of nasopharyngeal carcinoma are transformed into the main symptoms, it will misdirect clinical diagnosis and neglect its primary symptoms. However, the most missed diagnosis of nasopharyngeal carcinoma The main reason is due to the histological changes in the nasopharynx, in addition to submucosal lesion lesions are more subtle, so easy to hide the disease lead to misdiagnosis of the first clinic. Therefore, we need to take a variety of reasonable clinical examination means a comprehensive analysis of scientific understanding of the disease at the same time, in order to reduce misdiagnosis, thereby increasing the clinical diagnosis of nasopharyngeal carcinoma.