声带癌前病变及癌变动态喉镜追踪观察  

Laryngostroboscopy in the monitoring of precancerous lesion of vocal cord and in canceration tracing

作　　者：宋发全[1] 张芩娜[2] 王建亭[3] 赵海亮[3] 牛玉梅[3] 刘学仁[3] 袁瑞香[4] 

机构地区：[1]北京铁路总医院耳鼻咽喉科,100038 [2]山西医科大学第一医院耳鼻咽喉科 [3]山西医科大学第二医院耳鼻咽喉科 [4]山西医科大学第二医院病理科

出　　处：《中华耳鼻咽喉科杂志》2000年第2期144-146,共3页Chinese Journal of Otorhinolaryngology

基　　金：山西省科委攻关项目!(编号 :922023)

摘　　要：目的　探讨动态喉镜下声带癌前病变的表现及其在癌变追踪中的观察价值。方法　用动态喉镜检测声带癌前病变 5 2例 ,观察静态图像及动态图像中粘膜波及振幅的改变 ,并追踪观察癌变 1～ 5 5年。结果　声带癌前病变 5 2例中粘膜波消失或减弱占 86 3% (45 / 5 2 ) ,振幅减弱占 9 6 %(4/ 5 2 )。发现癌变 (声门癌 )T114例 ,粘膜波消失 10 0 %、振幅消失或减弱 10 0 %。结论　动态喉镜可用于声带癌前病变与早期声门癌的鉴别诊断 ,并作为癌变追踪观察的一种简便监测手段。Objective To evaluate the value of laryngostroboscopy in the monitoring of precancerous lesion of vocal cord and in the canceration tracing Methods Fifty two cases of precancerous lesion of vocal cord were examined under Laryngostroboscope The modifications of mucosal wave and amplitude of vocal cord vibration were observed All cases were monitored for 1 6 years Results The mucosal wave was weak in 45 of 52 cases (86 3%) and the amplitude of vocal cord vibration was weak in 4 of 52 cases (9 6%) with precancerous lesions However, the mucosal wave disappeared and the amplitude of vocal cord vibration weakened in all 14 cases with early glottic cancer Conclusion Laryngostroboscopy can be used in diagnosis of glottic precancerous lesion and distinguishing it from the early glottic cancer It is also an effective means of canceration tracing

关 键 词：喉肿瘤 动态喉镜 声带癌前病变 

分 类 号：R739.65[医药卫生—肿瘤]