MSCT图像后处理技术在评估喉癌及下咽癌侵犯范围中的临床价值分析  

Clinical Value of MSCT Image Post processing Techniques in Assessing the Invasive Range of Laryngocarcinoma and Hypopharyngeal Carcinoma

作　　者：景少华 李娟[2] 谢宏涛 JING Shao-hua;LI Juan;XIE Hong-tao(Department of Imaging,baoji Central Hospital,baoji 721000,Shaanxi Province,China;Department of Security,baoji Central Hospital,baoji 721000,Shaanxi Province,China;Department of Imaging,baoji Maternal and Child Health Hospital,baoji 721000,Shaanxi Province,China)

机构地区：[1]宝鸡市中心医院影像科,陕西宝鸡721000 [2]宝鸡市中心医院保卫科,陕西宝鸡721000 [3]宝鸡市妇幼保健院影像科,陕西宝鸡721000

出　　处：《中国CT和MRI杂志》2021年第12期33-35,共3页Chinese Journal of CT and MRI

基　　金：陕西省科技厅重点研发计划项目(2019SF-145)。

摘　　要：目的分析MSCT图像后处理技术在评估喉癌及下咽癌侵犯范围中的临床价值。方法选取本院2017年3月至2019年10月收治的30例喉癌和21例下咽癌患者作为研究对象,以手术病理结果为“金标准”,分析二维CT图像诊断喉癌及下咽癌局部侵犯范围;以喉镜结果进行对照,分析三维CT图像诊断喉内受侵情况。结果51例喉癌和下咽癌经手术病理证实会厌侵犯13例,MSCT横断面少检出1例;MSCT横断面均多检出2例室带、杓会厌襞侵犯,结合MPR图像多检出1例;3组CT图像均多检出3例梨状窝侵犯、2例喉软骨侵犯、2例淋巴结转移。MSCT二维图像对喉癌及下咽癌局部侵犯范围与手术病理结果比较,差异无统计学意义(P>0.05);CTVE显示肿瘤大小、部位、形态及喉内结构与喉镜检查比较,组间比较,差异均无统计学意义(P>0.05),VRT图像无法显示会厌、室带、杓会厌襞、声带、前联合、声门下区和声门裂等改变。结论MSCT图像后处理技术可评估喉癌及下咽癌侵犯范围、淋巴结转移等情况,综合应用效能更好,能为临床治疗方案的选择提供可靠的影像学信息。Objective to analyze the clinical value of MSCt image post-processing techniques in assessing the invasive range of laryngocarcinoma and hypopharyngeal carcinoma.Methods 30 cases with laryngocarcinoma and 21 cases with hypopharyngeal carcinoma admitted to our hospital from March 2017 to October 2019 were selected as subjects.the surgical pathological results were used as the“gold standard”to analyze the two-dimensional Ct image to diagnose the local invasive range of laryngocarcinoma and hypopharyngeal carcinoma.the laryngoscopy results were used to compare the three-dimensional Ct images to diagnose the condition of intralaryngeal invasion.results 13 cases were confirmed as epiglottis infringement by surgery and pathology in 51 cases with laryngocarcinoma and hypopharyngeal carcinoma.1 case was missed in the cross section of MSCt.2 cases with invasion of ventricular zone and plica aryepiglottica were detected more mistakenly in the cross section of MSCt.1 case were detected more mistakenly,combined with MPr images.three groups of Ct images were found to have 3 cases with invasion of sinus piriformis,2 cases with invasion of cartilagines laryngis,and 2 cases of lymph node metastasis were detected more mistakenly in three groups of Ct images.there was no significant difference in invasive range of laryngocarcinoma and hypopharyngeal carcinoma between the two-dimensional image of MSCt and the results of surgical pathology(P>0.05).there was no significant difference in tumor size,location,shape and laryngeal structure between CtVE and laryngoscopy and in same group.Vrt images cannot show changes in epiglottis,ventricular zone,plica aryepiglottica,vocal cords,anterior commissure,infraglottic portion,and fissure of glottis.Conclusion MSCt image post-processing technology can evaluate the invasive range of laryngocarcinoma and hypopharyngeal carcinoma,and lymph node metastasis,etc.,and the comprehensive application efficiency is better,which can provide reliable imaging information for the choice of clinical treatm

关 键 词：喉癌 下咽癌 多层螺旋CT后处理技术 临床价值 

分 类 号：R739.65[医药卫生—肿瘤] R445.3[医药卫生—临床医学]