摘要
目的:探讨声门型喉鳞状细胞癌的临床、影像学特征、病理特征及其与预后的关系。方法:回顾性分析2018年1月—2023年3月就诊于银川市第一人民医院、宁夏医科大学总医院的130例声门型喉鳞状细胞癌患者的临床、影像和病理资料。通过影像学检查(CT、MRI)评估病变边界是否清晰、密度、强化性质及强化程度,术后病理学检查明确病理性质、免疫组织化学等。采用χ^(2)检验、Spearman相关分析法、多因素logistic回归分析及Kaplan-Meier法等统计学方法分析数据。结果:130例患者中,男127例,女3例,平均年龄(61.92±9.595)岁。临床、影像学特征与病理学特征存在相关性。多因素分析显示,MRI密度不均匀(OR=12.414;P=0.019)和鳞状细胞癌为亚型之间有相关性,首发症状为非声嘶(HR=6.045;P=0.010)和MRI边界不清晰(HR=12.559;P=0.029)是影响声门型喉鳞状细胞癌患者预后不良的独立危险因素。结论:声门型喉鳞状细胞癌患者的临床、影像学特征与病理特征存在关联,并可影响预后。首发症状为非声嘶和MRI肿物边界不清晰是影响预后的独立危险因素。
Objective To explore the clinical,imaging,and pathological features of glottic squamous cell carcinoma of the larynx and their relationship with prognosis.Methods A retrospective analysis was conducted on the clinical,imaging,and pathological data of 130 patients with glottic squamous cell carcinoma of the larynx who were treated at the First People's Hospital of Yinchuan and the General Hospital of Ningxia Medical University from January 2018 to March 2023.Imaging examinations(CT and MRI)were used to evaluate the lesion boundary clarity,density,enhancement nature,and enhancement degree.Postoperative pathological examination was used to determine the pathological nature,immunohistochemistry,etc.Statistical methods such as χ^(2) test,Spearman correlation analysis,multivariate logistic regression analysis,and Kaplan-Meier method were used to analyze the data.Results Among the 130 patients,127 were male and 3 were female,with an average age of(61.92±9.595)years.There was a correlation between clinical,imaging,and pathological features.Multivariate analysis showed that heterogeneous MRI density(OR=12.414;P=0.019)and squamous cell carcinoma as a subtype were correlated.The initial symptom of non-hoarseness(HR=6.045;P=0.010)and unclear MRI boundary(HR=12.559;P=0.029)were independent risk factors for poor prognosis in patients with glottic squamous cell carcinoma of the larynx.Conclusion There is a correlation between the clinical,imaging,and pathological features of patients with glottic squamous cell carcinoma of the larynx,and they can affect prognosis.The initial symptom of non-hoarseness and unclear MRI boundary of the tumor are independent risk factors for poor prognosis.
作者
章峪侨
文武林
杨凤霞
马东科
申学良
冯宁宇
李茜茜
曾芷灵
弥志鹏
颜皙元
马瑞霞
ZHANG Yuqiao;WEN Wulin;YANG Fengxia;MA Dongke;SHEN Xueliang;FENG Ningyuv;LI Xixi;ZENG Zhiling;MI Zhipeng;YAN Xiyuan;MA Ruixia(The Second Clinical School of Medicine,Ningxia Medical University,Yinchuan,750001,China;Hospital of Otolaryngology,Head and Neck Surgery,the First People's Hospital of Yinchuan;Department of Radiology,General Hospital of Ningxia Medical University)
出处
《临床耳鼻咽喉头颈外科杂志》
北大核心
2025年第8期709-716,共8页
Journal of Clinical Otorhinolaryngology Head And Neck Surgery
基金
银川市科技计划项目(No:2024SFZD003)
宁夏回族自治区重点研发计划重大(重点)项目(No:2019BFG02001)。
关键词
喉肿瘤
声门型
影像学特征
病理特征
预后
laryngeal neoplasm
glottic type
imaging features
pathological features
prognosis
