喉癌的超声表现及图像质量的影响因素分析  

Imaging Features of Laryngeal Carcinoma on Ultrasound and Influence Factors Analysis in Image Quality

作　　者：袁莹萍 黄伟俊[1] 叶洁仪 陈伟雄[2] 廖烈强 Yuan Yingping;Huang Weijun;Ye Jieyi;Chen Weixiong;Liao Lieqiang(Department of Ultrasound and Head and Neck Surgery,The First People's Hospital of Foshan,Foshan,Guangdong 5280oo,China;Pharynx and Larynx Head and Neck Surgery,The First People's Hospital of Foshan,Foshan,Guangdong 5280oo,China)

机构地区：[1]佛山市第一人民医院超声诊疗中心,广东省佛山市528000 [2]佛山市第一人民医院咽喉头颈外科,广东省佛山市528000

出　　处：《中国超声医学杂志》2023年第2期138-141,共4页Chinese Journal of Ultrasound in Medicine

基　　金：佛山市自筹经费类科技创新项目(No.2220001003930);佛山市“十四五”医学重点专科和培育专科建设项目(No.FSGSP145037)。

摘　　要：目的 探讨喉癌的超声表现并分析喉癌超声图像质量的影响因素。方法 回顾性分析100例经病理证实的喉癌患者的超声表现,并分析图像质量的影响因素。结果①100例患者中,男96例,女4例,平均年龄(65.34±9.42)岁(范围35~85岁),超声检出病灶93例(93.0%),未检出病灶7例(7.0%);②喉癌在超声上均表现为低回声团块,边缘不光整,形态不规则,大多数内部可见血流信号,图像质量好67例(67.0%),质量欠佳33例(33.0%);③多因素分析显示肿瘤大小[P=0.001,优势比(OR)=4.980,95%置信区间(CI)=1.949~12.723]、甲状软骨前间角(P=0.008,OR=5.334,95%CI=1.560~18.230)和甲状软骨钙化率(P<0.001,OR=7.972,95%CI=3.404~18.669)是喉癌患者超声图像质量的独立影响因素。结论 喉癌在超声上的显示率较高,具有一定声像图特征。肿瘤大小、甲状软骨前间角和甲状软骨钙化率是喉癌患者超声图像质量的独立影响因素。Objective To investigate the ultrasonic manifestations of laryngeal carcinoma and analyze the influence factors in image quality. Methods The imaging features on ultrasound in 100 patients with laryngeal carcinoma confirmed by pathology were retrospectively analyzed, and the influence factors of image quality were analyzed. Results①Among the 100 patients, 96 were male and 4 were female, with an average age of(65.34±9.42) years(range 35-85 years). 93 cases(93.0%) were detected by ultrasonography, 7 cases(7.0%) were not detected.②All laryngeal carcinoma were characterized by hypoechoic mass with rough edge and irregular shape on gray scale ultrasound, and most of them displayed flow signal on Color Doppler flow imaging(CDFI). 67 cases(67.0%) showed good image quality while 33 cases(33.0%) showed poor image quality.③Multivariate logistic analysis showed that tumor size [P=0.001, odds ratio(OR)=4.980, 95% confidence interval(CI)=1.949-12.723], angle between nail cartilage plate(P=0.008,OR=5.334,95%CI=1.560-18.230) and rate of conchoidal cartilage calcification(P<0.001,OR=7.972,95%CI=3.404-18.669) were the independent influence factors of ultrasonic images quality in patients with laryngeal carcinoma. Conclusions Laryngeal carcinoma has a high display rate in ultrasound, and has certain sonographic characteristics. Tumor size, thyroid cartilage plate angle and degree of thyroid cartilage calcification are independent influence factors of ultrasonic images quality in patients with laryngeal carcinoma.

关 键 词：喉癌 超声 图像质量 影响因素 

分 类 号：R739.65[医药卫生—肿瘤] R445.1[医药卫生—临床医学]