声门型喉癌的CT分析  

Analysis of CT Appearances of Glottic Carcinoma

作　　者：包兵[1] 钱雯[1] 宋济昌[1] 

机构地区：[1]上海复旦大学医学院眼耳喉科医院放射科,200031

出　　处：《中国医学计算机成像杂志》2000年第6期378-380,共3页Chinese Computed Medical Imaging

摘　　要：目的：探讨声门型喉癌的ＣＴ诊断价值。材料和方法：分析本院１９９３～１９９８年经手术病理证实的７０例声门型喉癌的资料。结果：ＣＴ图像上发现６５例阳性，５例阴性。６５例中累及左侧声带、右侧声带和双侧声带分别为２５例、 ２１例和 １９例。 ＣＴ显示声门下区、前联合、声门旁间隙、室带和甲状软骨受犯，以及颈部淋巴结转移与病理的符合率为８９％。结论：ＣＴ检查对喉深部结构显示清晰，明显提高了声门型喉癌临床分期的准确性，为保存喉功能而选择手术方法时，提供了重要依据。To analyse the diagnostic value of CT for glottic carcinoma. Materials and Methods: CT images of 70 cases with glottic carcinoma proved by surgery and pathology from 1993 to 1998 were analyzed retrospectively. Results: Sixty-five cases had positive CT findings and other 5 cases were negative. Among the 65 cases, left vocal cord, right vocal cord and both vocal cords were involved in 25,21 and 19 cases respectively. Eight-nine percent of involvements of the subglottic area, anterior commissure, paraglottic space, false vocal cord and thyroid cartilage, and metastasis cervical lymphotic nodes proven by operation and pathology were found by CT. Conclusion: The structures of larynx can be showed clearly by CT. CT of larynx is very helpful for the staging of glottic carcinoma and selection of surgery method.

关 键 词：声门型喉癌 CT 诊断 

分 类 号：R739.6[医药卫生—肿瘤]