中华耳鼻咽喉头颈外科杂志
中華耳鼻嚥喉頭頸外科雜誌
중화이비인후두경외과잡지
CHINESE JOURNAL OF OTORHINOLARYNGOLOGY HEAD AND NECK SURGERY
2014年
8期
627-631
,共5页
喉肿瘤%喉镜检查%窄带成像%活组织检查
喉腫瘤%喉鏡檢查%窄帶成像%活組織檢查
후종류%후경검사%착대성상%활조직검사
Laryngeal neoplasms%Laryngoscopy%Narrow band imaging%Biopsy
目的 探讨窄带成像(narrow band imaging,NBI)内镜在喉部恶性病变活检过程中的作用.方法 选取自2013年2月至2014年1月在天津市人民医院耳鼻咽喉头颈外科行电子鼻咽喉镜筛查,怀疑喉部恶性病变并取活检的患者113例,按照单、双日的随机方法将患者分为两组,白光组58例,在白光模式下行喉部肿物活检并送病理检查;NBI组55例,在NBI模式下行喉部肿物活检并送病理检查,两组患者均根据活检病理结果行相应的外科手术,并将手术切除组织送病理检查,将其病理学结果作为金标准.分别计算两组恶性病变活检检出率及活检正确检出率,并作统计学比较.结果 白光组恶性病变活检检出率为71.1％ (32/45),低于NBI组的95.4％(42/44),两者差异有统计学意义(x2=7.75,P＜0.05);白光组活检正确检出率为77.6％(45/58),低于NBI组的96.4％(53/55),两者差异有统计学意义(x2=7.09,P＜0.05).结论 窄带成像内镜能明显提高喉部恶性病变的活检检出率及正确检出率,可以起到定向指导活检的作用,减少喉部恶性病变的误诊及漏诊,具有很高的临床实用价值.
目的 探討窄帶成像(narrow band imaging,NBI)內鏡在喉部噁性病變活檢過程中的作用.方法 選取自2013年2月至2014年1月在天津市人民醫院耳鼻嚥喉頭頸外科行電子鼻嚥喉鏡篩查,懷疑喉部噁性病變併取活檢的患者113例,按照單、雙日的隨機方法將患者分為兩組,白光組58例,在白光模式下行喉部腫物活檢併送病理檢查;NBI組55例,在NBI模式下行喉部腫物活檢併送病理檢查,兩組患者均根據活檢病理結果行相應的外科手術,併將手術切除組織送病理檢查,將其病理學結果作為金標準.分彆計算兩組噁性病變活檢檢齣率及活檢正確檢齣率,併作統計學比較.結果 白光組噁性病變活檢檢齣率為71.1％ (32/45),低于NBI組的95.4％(42/44),兩者差異有統計學意義(x2=7.75,P＜0.05);白光組活檢正確檢齣率為77.6％(45/58),低于NBI組的96.4％(53/55),兩者差異有統計學意義(x2=7.09,P＜0.05).結論 窄帶成像內鏡能明顯提高喉部噁性病變的活檢檢齣率及正確檢齣率,可以起到定嚮指導活檢的作用,減少喉部噁性病變的誤診及漏診,具有很高的臨床實用價值.
목적 탐토착대성상(narrow band imaging,NBI)내경재후부악성병변활검과정중적작용.방법 선취자2013년2월지2014년1월재천진시인민의원이비인후두경외과행전자비인후경사사,부의후부악성병변병취활검적환자113례,안조단、쌍일적수궤방법장환자분위량조,백광조58례,재백광모식하행후부종물활검병송병리검사;NBI조55례,재NBI모식하행후부종물활검병송병리검사,량조환자균근거활검병리결과행상응적외과수술,병장수술절제조직송병리검사,장기병이학결과작위금표준.분별계산량조악성병변활검검출솔급활검정학검출솔,병작통계학비교.결과 백광조악성병변활검검출솔위71.1％ (32/45),저우NBI조적95.4％(42/44),량자차이유통계학의의(x2=7.75,P＜0.05);백광조활검정학검출솔위77.6％(45/58),저우NBI조적96.4％(53/55),량자차이유통계학의의(x2=7.09,P＜0.05).결론 착대성상내경능명현제고후부악성병변적활검검출솔급정학검출솔,가이기도정향지도활검적작용,감소후부악성병변적오진급루진,구유흔고적림상실용개치.
Objective To investigate the guiding role of narrow-band imaging endoscopy in laryngeal malignant lesion biopsy.Methods From February 2013 to January 2014,113 patients suspected of laryngeal malignant lesions after electronic nasopharyngolaryngoscope screening were included in the study.The patients were randomly divided into two groups,58 cases in group A underwent laryngeal tumor biopsies in the white light mode and 55 cases in group B did in NBI mode.The patients were applied with corresponding surgery treatment according to the biopsy results.Postoperative pathologic examination result was as a gold standard for identifing the laryngeal diseases.Results The positive rate of malignant lesions in group A (71.1％,32/45)was significantly lower than that in group B (95.4％,42/44) (x2 =7.75,P ＜ 0.05) ;the accurate rate of biopsy in group A (77.6％,45/58) was significantly lower than that in group B (96.4％,53/55,x2 =7.09,P ＜ 0.05).Conclusion Narrow-band imaging endoscopy can obviously improve in the detection of laryngeal malignant lesion by biopsy.
