经颈超声对复发鼻咽癌的诊断价值  

Clinical value of ultrasonography in diagnosing recurrent nasopharyngeal carcinoma

作　　者：何林[1] 蔡玲[1] 陈国新[1] 陈松[1] 余新文[1] 

机构地区：[1]玉林市第二人民医院肿瘤科,广西玉林537000

出　　处：《临床耳鼻咽喉头颈外科杂志》2010年第21期963-965,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨超声在复发鼻咽癌诊断中的应用价值。方法:对75例放疗后0.5～3.0年临床症状可疑复发的鼻咽癌患者行超声检查和CT检查,并全部行鼻内镜检查和病理活检,以评价超声检查诊断复发鼻咽癌的价值。结果:超声检查提示复发35例;病理确诊26例,假阳性9例,真阴性25例,假阴性15例。CT检查提示复发35例;病理确诊27例,假阳性8例,真阴性26例,假阴性14例。超声和CT诊断复发鼻咽癌的敏感度、特异性、准确性比较均差异无统计学意义,诊断价值类似。结论:超声和CT对复发鼻咽癌均具有良好的诊断价值,二者具有一定的互补性。Objective：To study the clinical value of ultrasonography in diagnosing nasopharyngeal carcinoma.Method：Seventy-five patients with suspicious clinical symptoms of recurrent nasopharyngeal carcinoma were studied 0.5-3.0 years after radiotherapy.All received ultrasonography,computed tomography examination,nasendoscopy and nasopharyngeal biopsy.The diagnostic value of ultrasonography were then evaluated.Result：Of 75 cases,recurrent nasopharyngeal carcinomas were detected in 35 cases by ultrasonography.There were 26 cases confirmed pathologically,9 cases false positive,25 cases true negative and 15 cases false negative.Meanwhile,of 75 cases recurrent nasopharyngeal carcinomas were indicated in 35 cases by computed tomography.There were 27 cases confirmed pathologically,8 cases false positive,26 cases true negative and 14 cases false negative.There were no significant difference between the sensitivity,specificity and accuracy of ultrasonography and computed tomography in diagnosing recurrent nasopharyngeal carcinoma.Conclusion：Either ultrasonography or computed tomography has good diagnostic values in detecting recurrent nasopharyngeal carcinoma.Furthermore,both of them can complement each other.

关 键 词：鼻咽肿瘤 复发 超声 

分 类 号：R739.6[医药卫生—肿瘤]