喉癌术前MRI与术后全喉切片诊断作用的前瞻性研究  

The Preoperati ve Di agnos tic Role of M RI in Laryngeal Carcinoma──A Prospective Comparative Study of Preoperative MRl with Postoperative Wkole Orein Pathological Section in Nine Cases

作　　者：杜志华[1] 陶正德[1] 赵素萍 肖健云 张金池[1] 

机构地区：[1]山东省泰山医学院耳鼻咽喉科,湖南医科大学附属湘雅医院耳鼻咽喉科,山东省泰山医学院病理科

出　　处：《中国耳鼻咽喉颅底外科杂志》1996年第1期12-16,共5页Chinese Journal of Otorhinolaryngology-skull Base Surgery

摘　　要：本文就９例喉癌术前以纤维喉镜为主的临床检查、ＭＲＩ检查与全喉切除后连续全器官病理切片检查的结果进行了前瞻性对比研究。主要从声门下区、声带、室带、声门上区等四个平面比较，发现术前进行ＭＲＩ可清晰而较准确地显示肿瘤向会厌前间隙、声带旁间隙、喉软骨支架等部位的侵犯范围，其与术后全器官病理切片在判断病变范围方面的符合率（８８．９％）远高于纤维喉镜检查与病理的符合率（４４％）。A prospective comparative study was made of the results of that pteoperative rou-tine clinical examinations(mainly fiberoptic laryngoscopy)and MRl with that of the petoperative whole organ serial pathological sections in nine cases with laryngeal carcinoma. Comparison was done respectively at four Itevels,ie supraglottic,ventricular,vocal and subglottic. The results showed that MRI performed prior to operation could more clearly and accurately reved the extent of tumor invzeRion in preepiglottic space, paraglottic space,cartilage frame,etc.with a signiftcant-ly higher coincidence rate with pathology(88.9%)than that of routine clinical examination(mainly fiberoptic laryngcocopy)(44%).

关 键 词：喉肿瘤 手术前 手术后 NMR 成像 病理切片 诊断 

分 类 号：R739.650.4[医药卫生—肿瘤]