摘要
1声带白斑概述声带白斑是指声带表面被覆不易擦去的白色斑块或斑片状病灶,属于一种描述性临床诊断,发病率男性高于女性,单侧略多于双侧,累及喉部其他部位较少见。对于声带上所发现的白色病变,不能一概简单称之为声带白斑,应排除特异性/非特异性感染所致的白色病变,对经保守治疗后无法自行恢复,可能需要外科干预和治疗的才称之为真正的“声带白斑”[1-2]。
The appearances of vocal cord leukoplakia are largely identical in the macroscopic examination even though the pathological character may differ. This makes it difficult for physicians to evaluate the extent of dysplasia of vocal cord leukoplakia and detect the occurrence of canceration using the conventional laryngoscopy, which might result in overtreatment or undertreatment of vocal cord leukoplakia in different patients. Therefore, an accurate preoperative assessment of the pathological character of vocal cord leukoplakia shows clinical significance in the selection of an appropriate treatment plan and predicting the prognosis of a patient. Recent studies have found that narrow band imaging(NBI) endoscopy can facilitate the early and differential diagnosis of head and neck cancers by observing the intraepithelial papillary capillary loop(IPCL) patterns at the mucosal surfaces. In this paper, the recent progress of NBI endoscopy in the diagnosis of vocal cord leukoplakia is reviewed.
作者
张宝根
倪晓光
ZHANG Baogen;NI Xiaoguang
出处
《临床耳鼻咽喉头颈外科杂志》
CAS
北大核心
2019年第11期1113-1116,共4页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
关键词
喉镜
窄带成像
声带白斑
诊断
laryngoscope
narrow band imaging
vocal cord leukoplakia
diagnosis
