喉部肿瘤CT仿真内窥镜与纤维喉镜的对比研究  

Comparing CT Virtual Endoscopy with Fibropic Endoscopy in Diagnosing the Tumor of Larynx

作　　者：汪丽娅[1] 肖香佐[1] 龚洪翰[1] 周莉[1] 王索宇[2] 裴莉[1] 

机构地区：[1]江西医学院第一附属医院CT室,江西南昌330006 [2]江西省肿瘤医院放射科,江西南昌330006

出　　处：《江西医学院学报》2003年第2期1-3,F002,共4页Acta Academiae Medicinae Jiangxi

基　　金：江西省科委计划项目 ;编号 :E990 5 0 6 )

摘　　要：目的 :比较CT仿真内窥镜 (CTvirtualendoscopy ,简称CTVE)及纤维喉镜对喉部肿瘤的诊断结果 ,提高CTVE在喉部肿瘤诊断上的应用。方法 :依病理结果将喉部息肉、乳头状瘤、喉癌及正常者 6 0例分为 4组 ,分别比较CTVE及纤维喉镜对喉部肿瘤的诊断结果。运用统计学方法对结果进行分析、比较。结果 :CTVE和纤维喉镜检查对喉部息肉、喉部乳头状瘤及喉癌的诊断无显著性差异 (P >0 .0 5 ) ;灵敏度CTVE略低于纤维喉镜 ,漏诊率CTVE稍高于纤维喉镜 ,而特异度和误诊率二者相同。结论 :喉部CTVE是一种全新的无创伤性的检查喉部肿瘤的方法 ,其结果可与纤维喉镜相媲美 。Objective:To compare CT virtual endoscopy (CTVE) with fibropic endoscopy in diagnosis of tumor of larynx and to improve the application of CTVE in diagnosing.Methods:Sixty cases including polyps of larynx,papilloma of larynx,carcinoma of larynx,and normal were classified into 4 groups by pathology.CTVE was compared with fibropic endoscopy in the diagnosis of tumor of larynx.The results were analyzed and compared with statistical program.Results:There were not statistical differences of diagnosis for polyps of larynx, papilloma of larynx, carcinoma of larynx between CTVE and fibropic laryngoscopy ( P >0.05).The sensitivity of CTVE was slightly lower and the ratio of missing diagnosis is slightly higher than fibropic endoscopy,but the peculiarity and mistakes are almost identical.Conclusion:CTVE is a new noninvasive method for inspecting the tumor of larynx, which is almost of the same diagnostic significance as fibropic laryngoscope and is a good complementary method to fibropic endoscopy.

关 键 词：喉部肿瘤 CT仿真内窥镜 纤维喉镜 对比研究 

分 类 号：R739.65[医药卫生—肿瘤]