摘要
目的 探讨超声与CT在喉癌诊断中的临床应用价值.方法选择2008年1月～2013年6月我院住院治疗的38例喉癌患者,均行超声及CT检查.结果 38例喉癌患者均经手术或喉镜取活检病理证实.38例喉癌患者均行超声及CT检查,喉癌的二维声像图表现为形态不规则,边缘不光滑,内部回声不均匀,低回声,有坏死时可见无回声区.CDFI扫查内部血流较丰富.声门上型癌18例、声门型癌12例、声门下型癌8例.喉癌的CT表现主要为声门上区、声门区及声门下区的软组织肿块或弥漫性增厚,喉旁间隙或会厌前间隙变窄、消失,密度增高,声门裂移位,喉软骨的破坏及颈部淋巴结转移.结论彩超检查具有无创、简便易行、能动态多切面扫查、无痛苦、损伤少等优点,能清晰显示肿瘤的位置、大小形态、深部组织浸润程度、范围及肿块内部、周边血流情况,可以为临床提供一种较新的喉癌的辅助诊断方法.CT扫描可清晰显示肿块的形态位置、侵犯范围以及颈部淋巴结的转移,它能为喉癌的诊断与治疗提供重要信息,超声与CT对于诊断喉癌均具有重要的临床应用价值,二者各具优缺点,临床上应结合二者的各自优势联合应用,以提高对喉癌的诊断准确率.
Objective To investigate the clinical value of ultrasound and CT in the Methods From January 2008 to June 2013 in our hospital ,selected 38 cases of laryngeal diagnosis of laryngeal cancer. cancer patients underwent ultrasound and CT. Results 38 cases of laryngeal cancer were confirmed by surgery or laryngoscope take tim seized pathology. 38 cases of laryngeal cancer patients underwent ultrasound and CT examination ,laryngeal dimensional sonogram showed irregular,the edge was not smooth, heterogeneous internal echo, hypoechoic necrotic visible when no echo. CDFI internal scanning rich blood,and lymph nodes and determine the relationship between tumor and blood vessels.18 cases supraglottic cancer, 12 cases of glottic cancer,subglottic cancer in 8 cases. The CT manifestations of laryngeal supraglottic,glottic and subglottic soft tissue mass or diffuse thickening of the epiglottis throat before next space narrowing gap or disappeared,increased density,split shift glottis,larynx the destruction of cartilage and lymph node metastasis. Conclusion Ultrasonography is noninvasive,simple,dynamic multi -slice scanning, no pain,less damage, etc., can clearly show the tumor location, size and shape, deep tissue infiltration, scope and internal mass, the surrounding blood flow, can provide a relatively new clinical laryngeal method of diagnosis. CT scan can clearly show the location of tumor morphology ,extent of invasion and cervical lymph node metastasis ,it is laryngeal cancer diagnosis and treatment provide important information, ultrasound and CT for the diagnosis of laryngeal cancer have important clinical applications, each with advantages and disadvantages of both, should be combined with clinical respective strengths of both combined in order to improve the diagnostic accuracy of laryngeal cancer
出处
《中国现代医生》
2014年第7期81-83,87,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2012ZDA042)
关键词
喉癌
超声
CT
分型
Larynx
Ultrasound
CT
Classification
