窄带成像技术在喉部肿瘤中应用的探讨  

Application of narrow band imaging in laryngeal tumor

作　　者：岳振忠[1] 张永兰[1] 王桂萍[1] 杜建群[1] 林鹏[1] 

机构地区：[1]天津市第一中心医院耳鼻咽喉头颈外科,天津市耳鼻咽喉科研究所,天津300192

出　　处：《临床耳鼻咽喉头颈外科杂志》2017年第6期428-430,共3页Journal of Clinical Otorhinolaryngology Head And Neck Surgery

摘　　要：目的:探讨窄带成像(NBI)技术在喉部肿瘤中的应用。方法:选取2014-04-2016-10期间就诊于我院门诊,怀疑喉部恶性肿瘤或癌前病变的312例患者,每位患者均用白光和NBI模式的电子鼻咽喉镜进行观察,以病理结果为诊断金标准,判断白光模式和NBI模式电子鼻咽镜对喉部肿瘤诊断的敏感性、特异性和准确性。结果:白光模式对喉肿物诊断的敏感性、特异性和准确性分别为77.17%、62.07%和74.36%;NBI模式对喉肿物诊断的敏感性、特异性和准确性分别为92.91%、77.59%和90.06%;NBI模式对喉肿物诊断的敏感性和准确性均高于白光模式,差异有统计学意义(P<0.05,),但两者对喉肿物诊断的特异性差异无统计学意义(P>0.05)。结论:电子鼻咽喉镜NBI技术不仅发现喉癌早期病变,而且可以提高喉部肿瘤诊断的敏感性和准确性,有着广阔的应用前景。Objective：To explore the application of narrow band imaging（NBI）technology in laryngeal tumor.Method：From Appril 2014 to Otober 2016,three hundred and twenty-two patients with suspected laryngeal cancer or precancerous lesions were enrolled in the First Central Hospital of Tianjin.Each patient was examined by electronic nasopharyngolaryngoscope under white light and NBI model.The sensitivity,specificity and accuracy of laryngeal tumor diagnosis under white light mode and NBI mode was compared based on pathological results.Result：The sensitivity,specificity and accuracy of white light mode in laryngeal tumor diagnosis were 77.17%,62.07%and 74.36%,respectively whereas the NBI model were 92.91%,77.59%and 90.06%,respectively.The sensitivity and accuracy of NBI model in laryngeal tumor diagnosis were significantly higer than white light model（P〈0.05）,but not the specificity.Conclusion：The electronic nasopharyngolaryngoscope of NBI technology not only found early lesions of laryngeal cancer,but also can improve the sensitivity and accuracy of laryngeal tumor diagnosis.

关 键 词：窄带成像 喉癌 癌前病变 电子鼻咽喉镜 

分 类 号：R739.65[医药卫生—肿瘤]