窄带成像技术普通内镜对喉恶性病变的诊断价值.pdfVIP

CHIN ARCH OTOLARYNGOL HEAD NECK SURG / January 2016, Vol.23, No.1 23 DOI: 10.16066/j.1672-7002.2016.01.008 窄带成像技术普通内镜对喉恶性病变的诊断价值 1 2 许丽萍 ，刘吉祥 1 天津医科大学研究生院，天津　300070 ；2 天津市人民医院耳鼻咽喉头颈外科，天津　300121 [摘　要]　目的　探讨窄带成像技术（n a r row ba nd ） imaging ，NBI ）普通内镜对喉恶性病变诊断的应用价值。 [ABSTRACT]　OBJECTIVE　To investigate the value 方法 自2013年2月～2014年12月内镜检查发现425例喉肿物 of narrow band imaging endoscopy without magnification 患者，观察NBI模式普通内镜下喉肿物病变区黏膜形态及 in the diagnosis of malignant laryngeal lesions. METHODS 血管变化，进行分型诊断，将NBI 内镜诊断结果与病理结果 A total of 425 patients diagnosed as laryngeal tumor 对比分析。 　NBI普通内镜对喉恶性病变诊断的敏感 from February 2013 to November 2014 were included in 结果 性为80.43%，特异性为97.10% ，阳性预测值77.08% ，阴性预 this study. All the cases were examined with electronic 测值97.61%。 　NBI普通内镜通过观察病变区黏膜形态 nasopharyngolaryngoscope equipped with NBI mode. The 结论 及血管变化在喉恶性病变的诊断中有着良好的应用价值。 characteristics of mucosal morphology and superficial vessels [关键词]　喉肿瘤；内窥镜检查；诊断；窄带成像 of each lesion under NBI mode were evaluated for diagnosis and assessed by reference to histopathology. RESULTS Application value of narrow band imaging endoscopy The sensitivity, specificity, positive, predictive value and without magnification in the diagnosis of malignant negative predictive value of NBI in diagnosis of malignant laryngeal neoplasms laryngeal lesions were 80.43%, 97.10%, 77.08% and 97.61% XU Liping1, LIU Jixiang2 respectively. And NBI endoscopy is helpful to the detection of 1 Graduate School of Tianjin Medical University, Tianjin, early cancer and precancerous lesions. CONCLUSION 300070, China; 2 Department of Otolaryngology Head NBI endoscopy without magnification is a promising tool for and Neck Surgery，