CT检查在诊断耳鼻咽喉肿瘤中的临床价值  

The Clinical Value Of CT Examination In The Diagnosis Of Ear,Nose,And Throat Tumors

作　　者：刘锋 姜博 Liu Feng;Jiang Bo(Dezhou Traditional Chinese Medicine Hospital,Shandong,Dezhou,253000,China)

机构地区：[1]德州市中医院,山东德州253000

出　　处：《中国医学文摘(耳鼻咽喉科学)》2025年第1期80-82,共3页Chinese Medical Digest(Otorhinolaryngology)

摘　　要：目的研究CT检查在诊断耳鼻咽喉肿瘤中的临床效果。方法选取本院于2021年10月至2023年5月收治的耳鼻咽喉肿瘤患者50例,按照诊断方法进行分组,耳鼻咽喉肿瘤患者分别采用普通X线平片、CT检查方法。结果观察组耳鼻咽喉肿瘤患者在CT检查方法下诊断时间为6.40±1.86(min)、低于对照组,影像图像质量评分为4.80±0.31(分)、高于对照组(P<0.05)。观察组耳鼻咽喉肿瘤患者在CT检查方法下咽喉肿瘤、鼻肿瘤、耳肿瘤总检出率与病理诊断结果相近(P<0.05),均高于对照组(普通X线平片)的78.00%,对比结果差异显著(P<0.05)。观察组耳鼻咽喉肿瘤患者在CT检查方法下准确度、灵敏度、特异度各项诊断效能分别为98.00%、100.00%、83.33%,高于对照组(P<0.05)。观察组耳鼻咽喉肿瘤患者在CT检查方法下甲级、乙级、丙级、废片图像质量评价结果与对照组比较差异显著(P<0.05)。结论部及咽喉解剖结构复杂,普通X线平片很难全面客观地显示及诊断肿瘤,CT检查以其快捷的扫描速度及完善的图像后处理功能对耳鼻咽喉肿瘤诊断及鉴别诊断具有独特优势。Objective To study the clinical effect of CT examination in the diagnosis of ear,nose,and throat tumors.Method Fifty patients with ear,nose,and throat tumors admitted to our hospital from October 2021 to May 2023 were selected and grouped according to diagnostic methods.Patients with ear,nose,and throat tumors were examined using conventional X-ray plain films and CT scans.Result The diagnostic time of patients with ear,nose,and throat tumors in the observation group under CT examination was 6.40±1.86(min),lower than that in the control group,and the image quality score was 4.80±0.31(min),higher than that in the control group(P<0.05).The total detection rate of throat tumors,nasal tumors,and ear tumors in the observation group under CT examination was similar to the pathological diagnosis results(P<0.05),which was higher than 78.00%of the control group(ordinary X-ray plain flm),and the difference in comparison results was significant(P<0.05).The accuracy,sensitivity,and specificity of CT examination in the observation group of patients with ear,nose,and throat tumors were 98.00%,100.00%,and 83.33%,respectively,higher than those in the control group(P<0.05).There was a significant difference in the evaluation results of grade A,grade B,grade C,and waste film image quality between the observation group and the control group under the CT examination method(P<0.05).Conclusion The anatomical structure of the temporal and pharyngeal regions is complex,and ordinary X-ray plain films are difficult to comprehensively and objectively display and diagnose tumors.CT examination has unique advantages in the diagnosis and differential diagnosis of ear,nose,and throat tumors with its fast scanning speed and complete image post-processing function.

关 键 词：耳鼻咽喉肿瘤 CT诊断 

分 类 号：R73[医药卫生—肿瘤]