窄带成像电子纤维喉镜对喉癌的诊断价值  

The value of narrow band imaging electronic laryngoscope for the diagnosis of laryngeal cancer

作　　者：申学良[1] 文武林[2] 冯宁宇[2] 闫小会[2] 李莹[1] 郭宏庆[2] 马瑞霞[2] 

机构地区：[1]宁夏医科大学,宁夏银川750004 [2]宁夏医科大学总医院耳鼻咽喉头颈外科,宁夏银川750004

出　　处：《宁夏医学杂志》2014年第2期112-114,共3页Ningxia Medical Journal

摘　　要：目的探讨窄带成像(NBI)电子纤维喉镜对早期喉癌诊断价值。方法选取门诊初步诊断为"喉部肿物性质待查"的115例患者使用具有NBI观察模式的电子纤维喉镜进行病灶部位的检查,以NBI模式下不同病变的特征性表现进行初步性质判断。115例患者均行病理检查作为诊断的金标准,将两种方法的检测结果进行一致性检验。结果 115例患者中共发现病灶171个,NBI电子纤维喉镜对喉部病变的正确诊断率是92.4%(158/171)。NBI电子纤维喉镜对喉癌诊断的灵敏度、特异度及一致率分别为90.2%(55/61)、76.4%(84/110)和81.3%(139/171),两种方法一致性较好(Kappa=0.62>0.4)。结论 NBI电子纤维喉镜检查和病检结果对喉癌诊断一致性较好,NBI电子纤维喉镜可以辅助临床应用,增强了对喉癌的早期诊断及术后随访的作用。Objective To investigate the value of narrow band imaging （NBI） electronic laryngoscope for the early diagnosis of laryngeal cancer. Methods 115 patients were enrolled which was initial diagnosis ＂throat tumor of unknown origin＂ in outpatient. Elec tronic fiber laryngoscope with NBI observation mode was introduced in the examination of larynx. Each lesion preliminary nature of judg ment was observed by NBI endoscopy and classified according to NBI mode different lesions characteristic performance. With pathology results as the gold standard for diagnosis, the results of both methods tested for consistency. Results Among 115 patients, there 171 le sions were found, NBI electronic laryngoscope larynx lesions on the correct diagnosis rate was 92.4% （158/171）. NBI electronic laryn goscope for laryngeal cancer diagnostic sensitivity, specificity and concordance rates were 90.2% （55/61）, 76.4% （84/110） and 81.3% （ 139/171 ）, and both methods were in good agreement （ Kappa = 0.62 〉 0.4）. Conclusion Both methods results are better for treatment, NBI electronic laryngoscopy can assist clinical applications, and enhance support for the early diagnosis of laryngeal cancer and postoperative follow up.

关 键 词：窄带成像 喉镜 喉肿瘤 早期诊断 

分 类 号：R739.65[医药卫生—肿瘤]