高频超声评价甲状腺术前声带运动的临床研究  

High frequency ultrasound evaluation of vocal cord movement before thyroidectomy

作　　者：武静芳[1] 李雪梅[1] 远丽[1] 袁永学[1] WU Jingfang;LI Xuemei;YUAN Li;YUAN Yongxue(Department of Ultrasound,Beijing Bo'ai Hospital,Chinese Rehabilitation Research Center,Beijing 100068,China)

机构地区：[1]中国康复研究中心附属北京博爱医院超声科

出　　处：《中国眼耳鼻喉科杂志》2019年第4期272-274,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨高频超声在甲状腺术前声带运动检查中的临床价值。方法对2015年3月~2018年7月在我院行甲状腺手术的157例患者行喉镜和超声检查,对声带运动进行评级:Ⅰ级(正常),双侧声带对称性运动;Ⅱ级,一侧声带较对侧声带运动幅度减低;Ⅲ级,一侧声带位置固定。Ⅱ、Ⅲ级为声带运动障碍即声带麻痹。以喉镜为金标准,比较高频超声的一致性。结果超声诊断声带麻痹的符合率为98.6%,敏感度为88.9%,漏诊率为11.1%,特异度为99.%,误诊率为0.8%。一致性分析显示,超声评价与喉镜具有高度一致性(P<0.001)。结论高频超声评价声带麻痹与喉镜相比较具有几乎一致性的诊断性,可用于甲状腺术前声带运动的评估。Objective To evaluate the clinical value of vocal cord movement before thyroidectomy by high frequency ultrasound. Methods One hundred and fifty-seven patients underwent thyroidectomy from Mar. 2013 to Jul. 2018 were collected as the research objects. All patients underwent ultrasound and direct laryngoscopy test before thyroidectomy. The extent of movement was graded from Ⅰ to Ⅲ. Grade Ⅰ meant full or normal symmetric movement of both vocal cords, whereas grade Ⅱ meant impaired or decreased movement, and grade Ⅲ meant no movement. The results of laryngoscopy were used as the gold standard to assess the consistency of ultrasound findings. Results Ultrasound diagnosis of vocal cord paresis or palsy had a sensitivity, specificity, the concordance rate, the rate of missed diagnosis, and misdiagnosis rate of 88.9%,99.2%,98.6%,11.1% and 0.8%,respectively(P<0.001). Conclusions Ultrasonography has a high value in the diagnosis and can be used for the peroperative evaluation of vocal cord movement before thyroidectomy.

关 键 词：高频超声 声带运动 甲状腺手术 

分 类 号：R736.1[医药卫生—肿瘤]