电子鼻咽喉镜诊治27400例临床分析

doi:10.6040/j.issn.1673-3770.0.2018.579

摘要/Abstract

摘要： 目的

探讨分析电子鼻咽喉镜在耳鼻咽喉科疾病诊断及治疗中的临床价值。

方法

回顾性分析2016年12月1日至2018年10月1日在耳鼻咽喉科行电子鼻咽喉镜检查的27400例患者的临床资料。

结果

27400例中，口腔及耳鼻咽喉病变16 661例，其中耳鼻咽喉异物122例，异物产生创面85例，功能性发声障碍32例，耳部病变122例，鼻部病变598例，口腔及口咽病变498例，鼻咽病变1 364例，喉及喉咽病变13 751例，气管病变75例，咽旁病变14例。对1 452例疑为恶性肿瘤患者行活检术，阳性率为94.77%。电子鼻咽喉镜下行手术治疗84例、异物取出术101例。

结论

电子鼻咽喉镜在耳鼻咽喉疾病的诊治中安全有效，特异性强，有助于微小病变及肿瘤的早期发现。

关键词: 鼻咽喉镜, 耳鼻咽喉科疾病, 诊断, 治疗结局

Abstract: Objective

To evaluate the efficiency of electronic nasopharyngoscopy in the diagnosis and treatment of otorhinolaryngologic diseases.

Methods

A retrospective analysis of patients who underwent electronic nasopharyngoscopy in the department of otolaryngology from December 1, 2016, to October 1, 2018.

Results

In total, 27400 patients underwent electronic nasopharyngoscopy for a definitive diagnosis of otorhinolaryngologic diseases. There were 16661 cases of oral or otolaryngologic lesions: 122 cases of foreign bodies in otolaryngological organs, 85 cases of wounds caused by foreign bodies, 32 cases of functional dysphonia, 122 cases of otic lesions, 598 cases of nasal lesions, 498 cases of oral and oropharyngeal lesions, 1364 cases of nasopharyngeal lesions, 13751 cases of laryngeal and hypopharyngeal lesions, 75 cases of tracheal lesions, and 14 cases of parapharyngeal lesions. Electronic nasopharyngoscopy-assisted biopsies performed on 1452 patients with suspected malignant tumors presented with a positive rate of 94.77%. Surgeries were performed on 84 patients and foreign body extractions were performed on 101 patients with the electronic nasopharyngoscopy,

Conclusion

Electronic nasopharyngoscopy is safe, effective, and specific in the diagnosis and treatment of otolaryngology diseases. It is helpful for the early detection and treatment of minute lesions and otolaryngological tumors.

Key words: Nasopharyngoscopy, Otorhinolaryngologic diseases, Diagnosis, Treatment outcome

中图分类号:

R762

梁程程,王欣,雷大鹏. 电子鼻咽喉镜诊治27400例临床分析[J]. 山东大学耳鼻喉眼学报, 2019, 33(5): 107-110.

Chengcheng LIANG,Xin WANG,Dapeng LEI. Electronic nasopharyngoscopy for the diagnosis and treatment of otorhinolaryngologic diseases: A retrospective study of 27400 cases[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(5): 107-110.

参考文献 15

1	李闯 .电子鼻咽喉镜在耳鼻喉科中的临床应用[J].中国医药指南, 2017, 15(35): 93-94. doi:10.15912/j.cnki.gocm.2017.35.075 . doi: 10.15912/j.cnki.gocm.2017.35.075
2	黄小燕, 罗庆, 金雪玲 . 电子咽喉镜在咽部异物诊治中的应用[J]. 实用临床医学, 2018, 19(11): 64-65. doi:109. 10.13764/j.cnki.lcsy.2018.11.021 . doi: 109. 10.13764/j.cnki.lcsy.2018.11.021
3	费长顺，江龙生，白雪峰，等 . 经电子鼻咽喉镜诊治下咽部异物242例[J]. 中国乡村医药, 2012, 19(3): 35. doi:10.3969/j.issn.1006-5180.2012.03.027 . doi: 10.3969/j.issn.1006-5180.2012.03.027
4	Dang PT , Gubbels SP . Is nasopharyngoscopy necessary in adult-onset otitis media with effusion?[J]. The Laryngoscope, 2013, 123(9): 2081-2082. doi:10.1002/lary. 23967 . doi: 10.1002/lary. 23967
5	O'Sullivan BP , Finger L , Zwerdling RG . Use of nasopharyngoscopy in the evaluation of children with noisy breathing[J]. Chest, 2004, 125(4): 1265-1269. PMID: 15078733. doi:10.1378/chest.125.4.1265 doi: 10.1378/chest.125.4.1265
6	倪晓光, 张宝根 . 窄带成像内镜在鼻咽癌早期诊断中的作用[J]. 中华耳鼻咽喉头颈外科杂志, 2018, 53(1): 44. doi:10.3760/cma.j.issn.1673-0860.2018.01.009 . doi: 10.3760/cma.j.issn.1673-0860.2018.01.009
	NI Xiaoguang , ZHANG Baogen . The role of narrow band imaging for the early diagnosis of nasopharyngeal carcinoma[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2018, 53(1): 44. doi:10.3760/cma.j.issn.1673-0860.2018.01.009 . doi: 10.3760/cma.j.issn.1673-0860.2018.01.009
7	倪晓光 . 窄带成像内镜对声带白斑的鉴别诊断[J]. 中华耳鼻咽喉头颈外科杂志, 2017, 52(1): 76-77. doi:10.3760/cma.j.issn.1673-0860.2017.01.017 . doi: 10.3760/cma.j.issn.1673-0860.2017.01.017
	NI Xiaoguang . The differential diagnosis of narrow band imaging for the leukoplakia lesion on the vocal cord[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2017, 52(1): 76-77. doi:10.3760/cma.j.issn.1673-0860.2017.01.017 . doi: 10.3760/cma.j.issn.1673-0860.2017.01.017
8	倪晓光 . 窄带成像内镜在早期下咽癌诊断中的应用[J]. 中华耳鼻咽喉头颈外科杂志, 2016, 51(2): 104. doi:10.3760/cma.j.issn.1673-0860.2016.02.006 . doi: 10.3760/cma.j.issn.1673-0860.2016.02.006
	NI Xiaoguang . Role of Narrow-band imaging endoscopy in the diagnosis of hypopharyngeal carcinoma[J]. Chinese Journal of Otorhinolaryngology Head and Neck Surgery, 2016, 51(2): 104. doi:10.3760/cma.j.issn.1673-0860.2016.02.006 . doi: 10.3760/cma.j.issn.1673-0860.2016.02.006
9	陈立晓, 蒋锐, 於子卫 . 窄带成像技术在咽喉肿瘤诊治中的应用[J]. 山东大学耳鼻喉眼学报, 2018, 32(6): 104-108. doi:10.6040/j.issn.1673-3770.0.2018.174 . doi: 10.6040/j.issn.1673-3770.0.2018.174
	CHEN Lixiao , JIANG Rui , YU Ziwei . Narrow-band imaging in diagnosis and treatment of tumors of the pharynx and larynx[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2018, 32(6): 104-108. doi:10.6040/j.issn.1673-3770.0.2018.174 . doi: 10.6040/j.issn.1673-3770.0.2018.174
10	Yan XJ , Fang S. , Huang GW , et al . [Clinical study of nasopharyngeal masses with suspicion of nasopharyngeal carcinoma in adult patients][J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2018, 53(7):519-523. doi: 10.3760/cma.j.issn.1673-0860.2018.07.007 . doi: 10.3760/cma.j.issn.1673-0860.2018.07.007
11	Shilo S , Abu-Ghanem S , Yehuda M , et al . Nasopharyngeal biopsy in adults presenting with serous otitis media: Cross-sectional study[J]. Head Neck, 2018, 40(7): 1565-1572. doi:10.1002/hed.25135 . doi: 10.1002/hed.25135
12	Ho CY , Chan KT , Chu PY . Comparison of narrow-band imaging and conventional nasopharyngoscopy for the screening of unaffected members of families with nasopharyngeal carcinoma[J]. Eur Arch Otorhinolaryngol, 2013, 270(9): 2515-2520. doi:10.1007/s00405-013-2354-y . doi: 10.1007/s00405-013-2354-y
13	朱秋芬, 陈贤明 . 喉结核患者29例电子鼻咽喉镜诊断的价值[J]. 福建医药杂志, 2014, 36(2): 116-118.
14	扈启迪, 李耀君 . 喉结核18例临床分析[J]. 山东大学耳鼻喉眼学报, 2017, 31(2): 85-89. doi:10.6040/j.issn.1673-3770.0.2016.380 . doi: 10.6040/j.issn.1673-3770.0.2016.380
	HU Qidi , LI Yaojun . Clinical analysis of 18 patients with laryngeal tuberculosis[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2017, 31(2): 85-89. doi:10.6040/j.issn.1673-3770.0.2016.380 . doi: 10.6040/j.issn.1673-3770.0.2016.380
15	王海瑞, 赵俊亭, 刘伟杰, 等 . 耳鼻喉科疾病治疗中电子鼻咽喉镜的应用价值分析[J]. 中国医学创新, 2013,12(25): 103-105. doi:10.3969/j.issn.1674-4985.2013.25.049 . doi: 10.3969/j.issn.1674-4985.2013.25.049
	WANG Hairui , ZHAO Junting , LIU Weijie , et al . Application value of department of ENT disease treatment of electronic endoscope[J]. Medical Innovation of China, 2013,12(25): 103-105. doi:10.3969/j.issn.1674-4985.2013.25.049 . doi: 10.3969/j.issn.1674-4985.2013.25.049

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