239例鼻咽癌误诊分析

目的：分析鼻咽癌误诊的原因，并就如何减少误诊和早期确诊鼻咽癌进行探讨，以提高鼻咽癌患者的生存率和治愈率。方法：对239例鼻咽癌误诊病例的误诊原因、误诊经过和误诊疾病进行归纳总结。结果：误诊的疾病依次为颈淋巴结炎、颈淋巴结核、分泌性中耳炎、慢性鼻炎鼻窦炎、鼻出血、偏头痛、鼻息肉等。结论：因鼻咽癌原发部位深而隐蔽，早期症状不典型，临床各科医师有各自的惯性思维且对鼻咽癌的并发症与合并症缺乏认识而误诊。需大力开展卫生宣教，增进各科医师诊断鼻咽癌的技能，以能早发现、早治疗。

Analysis of misdiagnosis to 239 cases with nasopharyngeal carcinoma

Objective:To analyse the misdiagnostic reason to nasopharyngeal carcinoma and to study the final diagnosis at earlier period and how to reduce the misdiagnosis for rising the survival rate and healing rate. Method:The misdiagnostic reason, progress and diseases about 239 cases nasopharyngeal carcinoma were summarized. Result:The diseases which were misdiagnosed including cervical adenitis, cervical tuberculous lymph nodes, secretory otitis media, chronic rhinitis and nasosinusitis, epistaxis, megrim and nasal polyp. Conclusion:The nasopharyngeal carcinoma was misdiagnosed because the locus was deep and secluding, the earlier symptom was atypical and clinical doctors were no cognition to the complication. In order to detect and treat it earlier, the sanitation should be publicized widely to improve the diagnostic skills