鼻咽照像之我見

Personal Experience in Nasopharyngophotography

李進賢(Chin-Hsien Lee)

《中華民國耳鼻喉科醫學會雜誌》 28卷4期 (1993/08) Pp. 281-285

https://doi.org/10.6286/1993.28.4.281

摘要

鼻咽腔由於解剖位置較隱密，醫師不易直接觀察；所以該處疾病多因未能早期診斷而延誤治療。例如我國成人常見的鼻咽癌，幼兒易患的腺樣體肥大症，經常為臨床醫師所忽略。
從1986年7月1993年1月，共有524例於本診所接受鼻菸照像及錄影檢查。發現在成人鼻咽鏡檢查，以經口到達鼻咽腔為優先，小兒雖較不合作，可用2.7mm或4mm的內視鏡，由鼻腔到達鼻咽腔檢查。這些檢查比傳統的前後鼻鏡檢查，不但簡便、清晰，資料也更易完整保存。

關鍵字

鼻咽像

並列摘要

Sometimes lesions of the nasopharynx can not be easily detected only by stand-ard rhinoscopy, because of the illumination difficulty in obtaining this. Delaying diag-nosis and inadequate treatment of nasopha-ryngeal lesions are not uncommonly encountered. Nasopharyngeal tumors in adults and adenoid vegetation in pediatric poopulation are common in our country. They are usually neglected by general ENT reactitioners.
A total of 524 cases were collected with the regid nasopharyngoscope and video-tape recording from July 1986 to January 1993. In adult patients, transoral approach is relatively simple to examine the nasopharynx. On the contrary, in unco-operative adult patients and pediatric patients, we can achieve it by intranasak approach.
Photographic docymenation and video-tape recording are easily accomplished with rigid fiberoptic nasopharyngoscoper. We can get more information better than the conventional examination. Some inter-esting poctures of the nasopharynx are presented in this communication.

並列關鍵字

nasopharyngoscopy