目的　探讨提高住院鼻咽癌早诊率的方法和途径。方法　结合社区服务，随机与周边市县合作定期进行人群鼻咽癌血清学筛查，分析同期首次住院病例来源１００ 例以上１１ 市县 ２４３６ 例鼻咽癌资料。结果　未筛查过的四市县住院鼻咽癌患者７７３ 例，早诊率 １４０５％ ，低于筛查过１～２ 次的４ 市县（住院９８６ 例，早诊率１８０５％ ）， Ｐ＜ ００１；筛查过３ 次以上的３ 市县住院者６７７ 例，早诊率３０４３％ 。结论　定期对病例来源较多的市县进行人群鼻咽癌筛查是提高住院鼻咽癌早诊率的方法和途径。 Objective To explore ways and ways to improve the early diagnosis rate of nasopharyngeal carcinoma in hospital. Methods In combination with community services, we conducted randomized serological screening of human nasopharyngeal carcinoma (NPC) on a regular basis in cooperation with neighboring cities and counties. We analyzed the data of 2436 nasopharyngeal carcinomas from 100 cities or more in 11 cities and counties for the first time in the same period. Results There were 773 nasopharyngeal cancer patients in four cities and counties without screening, the diagnosis rate was 1405%, lower than 4 cities and counties (986 inpatients, 1805% ), P <001; 677 cases of inpatients in 3 cities and counties who were screened more than 3 times had a diagnosis rate of 3043%. Conclusion Regular screening of NPC patients in cities and counties where there are more cases is the method and method to improve the diagnosis rate of nasopharyngeal carcinoma in hospital.