本文对临床诊断为鼻咽癌（ｎａｓｏｐｈａｒｙｎｇｅａｌｃａｒｃｉｎｏｍａ，ＮＰＣ）者２０８例分别行鼻咽脱落细胞、病理活检、组织印片及血清免疫酶测定ＶＣＡ－ＩｇＡ，结果发现活检（第１次）准确率为８５．７％，组织印片为８８．９％，涂片ＨＥ染色为６３．４％，涂片ＡｇＮＯＲ为９０．５％，ＶＣＡ－ＩｇＡ为７８．６％。以脱落细胞涂片ＡｇＮＯＲ染色准确率最高。认为该方法简便，快速，不失为ＮＰＣ诊断的一种有意义的辅助方法。 In this paper, nasopharyngeal exfoliated cells, pathological biopsy, tissue print and serum immunoenzyme were used to detect VCA-IgA in 208 patients with clinically diagnosed nasopharyngeal carcinoma (NPC). The results showed that the accuracy of biopsy (the first time) was 85 .7%, tissue printing 88.9%, smear HE staining 63.4%, smear AgNOR 90.5%, VCA-IgA 78.6%. AgNOR staining with exfoliated cells smear the highest accuracy. It is considered that the method is simple and rapid, which is a meaningful auxiliary method for NPC diagnosis.