Llorente J L, Suárez C, Moro M, Díaz I, Fernández J A
Servicio de ORL, Hospital Central de Asturias, Oviedo.
Acta Otorrinolaringol Esp. 1998 Mar;49(2):129-32.
Rigid endoscopy allows clear visualization of the nasal fossa and paranasal sinuses and permits biopsies to be obtained under direct vision from relatively inaccessible sites. In most cases the biopsy can be made using local anesthesia, but selected patients require general anesthesia. We report the results of 31 patients who underwent biopsy with rigid nasal endoscopy under general anesthesia. Of the 31 patients, a diagnostic biopsy was achieved in 30 (96.7%). We define a diagnostic biopsy as one which yielded a histopathological diagnosis that did not change as a result of clinical findings, examinations or further biopsies performed during follow-up. We recommend the use of endoscopic nasal biopsy of nasal and paranasal neoplasms as an easy, safe and reliable technique.
硬性鼻内镜检查可清晰观察鼻腔和鼻窦，并能在直视下从相对难以到达的部位获取活检组织。在大多数情况下，活检可采用局部麻醉进行，但部分患者需要全身麻醉。我们报告了31例在全身麻醉下接受硬性鼻内镜活检的患者的结果。在这31例患者中，30例（96.7%）获得了诊断性活检结果。我们将诊断性活检定义为通过组织病理学检查得出的诊断结果，该结果不会因随访期间的临床发现、检查或进一步活检而改变。我们建议将鼻内镜下鼻腔和鼻窦肿瘤活检作为一种简便、安全且可靠的技术。
