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至今为止,大家认为喉恶性肿瘤的临床、诊断和治疗等一系列问题仍然是十分复杂的。据初步统计有10.7％的喉癌诊断是误诊的。本文对近十年收集的342例经治患者进行了全面分析。发现晚期型为5％。此数字仅指Ⅳ期喉癌住院者,如把Ⅲ期计算在内,则可达66.7％。其晚期喉癌住院率如此之高,原因何在?首先应看到计划性职业随访上的问题。由于忽视了对所有40岁以上人的检查和只行间接喉镜检查,而使误诊率高达21％。另外,由于病人就诊晚而误诊的占19％。从342例的病史中显示男性占98％,其中73.1%发生于喉前庭,57.9％属Ⅲ～Ⅳ期。其中有些病人误诊为慢性肥厚性喉炎并进行了各种抗炎治疗。342例喉癌中通过细胞学确诊的有287例,可见细胞学诊断的确诊率相当高。还有5％误诊率和14％误治率是由下取材不当。病理报告错误造成的。342例中112例经门诊诊治平均6个月后才被确诊。基于上述情况,为了提高早期确诊率,提高疗效,克
So far, everyone believes that the clinical, diagnostic and therapeutic problems of laryngeal malignancy are still very complicated. According to preliminary statistics, 10.7% of laryngeal cancer diagnoses are misdiagnosed. This article has conducted a comprehensive analysis of 342 cases of patients treated in the past decade. The late type was found to be 5%. This figure refers only to patients with stage IV laryngeal cancer. If stage III is taken into account, it may be up to 66.7%. What is the reason why the hospitalization rate of advanced laryngeal cancer is so high? First, we should see the problems in the planned occupational follow-up. The rate of misdiagnosis was as high as 21% due to neglect of the examination of all persons over the age of 40 and indirect laryngoscopy. In addition, 19% of patients were misdiagnosed due to late treatment. From the history of 342 cases, males accounted for 98%, of which 73.1% occurred in the throat vestibule and 57.9% belonged to III to IV. Some of these patients were misdiagnosed as chronic hypertrophic laryngitis and had undergone various anti-inflammatory treatments. Among the 342 cases of laryngocarcinoma diagnosed by cytology, 287 cases showed a high diagnostic rate of cytological diagnosis. There are 5% misdiagnosis rate and 14% misdoing rate is improperly drawn from the next. Caused by pathological report errors. 112 cases in 342 cases were diagnosed after an average of 6 months after outpatient treatment. Based on the above circumstances, in order to increase early diagnosis and improve efficacy,