喉尖锐湿疣的CT表现与直接喉镜检查对照分析  

Compared studies of laryngeal condyloma acuminatum with CT and direct laryngoscopy

作　　者：肖叶玉[1] 刘国瑞[1] 林彬[2] 刘启泽[1] 吴仁华[1] 

机构地区：[1]汕头大学医学院第二附属医院,广东汕头515041 [2]汕头大学医学院第一附属医院,广东汕头515041

出　　处：《河北医学》2004年第8期709-711,共3页Hebei Medicine

摘　　要：目的 :了解CT诊断喉尖锐湿疣的优缺点和价值 ,提高CT对喉尖锐湿疣的诊断水平。方法 :回顾性分析 12例经病理证实为喉尖锐湿疣患者的CT和直接喉镜表现 ,比较两项检查所显示病灶的情况。结果 :CT表现为声带宽基底小结节状低密度灶 4例 ,声门上区多个菜花样宽基底低密度灶 7例 ,声带窄基底水草样病灶 1例 ;直接喉镜检查除发现CT所见的病灶外 ,还发现声带疤痕 2例。结论 :CT对发现喉尖锐湿疣的病灶有很大的价值且CT对了解疣瘤体基底部及周围组织的侵犯具有优点 ,但对粘膜表面细节问题不如喉镜。CT检查有利于提高喉尖锐湿疣的鉴别诊断水平和协助制定治疗方案 ;直接喉镜是诊断喉尖锐湿疣的最佳检查方法 ,且可在直接喉镜下摘除新生物 。Objective: To know about the advantages and disadvantages of CT in diagnosis of Laryngeal Condyloma Acuminatum(LCA),and enhance its diagnosis level. Method: CT and direct laryngoscopy retrospective studies were carried out in 12 cases with LCA, and compared with each other. Result: The findings from CT: There were 4 cases with low-density, wide-based single tiny nodule on vocal cord, 7 cases with many low-density ,wide-based cauliflower lesions in supraglottic area, 1 case with a long strip lesion which has narrow base were on vocal cord. The findings from direct laryngoscopy: The lesions were as same as the CT’s except that 2 cases with vocal cord scar were found. Conclusion: CT is valuable for diagnosis and differential diagnosis of LCA, moreover, it is valuable for doctor to lay out a perfect treatment plan. Direct larygnoscopy is the best measures for diagnosis of LCA and the lesions can be removed with less injury through it.

关 键 词：喉 尖锐湿疣 CT 

分 类 号：R767.1[医药卫生—耳鼻咽喉科]