临床医学工程2024,Vol.31Issue(4) :389-390.DOI:10.3969/j.issn.1674-4659.2024.04.0389

窄带成像技术不同分型诊断声带白斑良恶性的价值

Value of Different Types of Narrow Band Imaging in the Diagnosis of Benign and Malignant Vocal Cord Leukoplakia

张玉娟 褚玉会 杨琳琳 李柄睿 陈春丽 代亚错
临床医学工程2024,Vol.31Issue(4) :389-390.DOI:10.3969/j.issn.1674-4659.2024.04.0389

窄带成像技术不同分型诊断声带白斑良恶性的价值

Value of Different Types of Narrow Band Imaging in the Diagnosis of Benign and Malignant Vocal Cord Leukoplakia

张玉娟 1褚玉会 1杨琳琳 1李柄睿 1陈春丽 1代亚错2
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作者信息

  • 1. 郑州市第三人民医院耳鼻咽喉头颈肿瘤外科,河南郑州 450099
  • 2. 天津市北辰医院耳鼻喉科,天津 300134
  • 折叠

摘要

目的 探讨电子喉镜下白光模式及窄带成像(NBI)模式分型鉴别诊断声带白斑(VCL)性质的价值.方法 136例VCL患者均接受白光模式、NBI模式检查,比较不同病变性质患者的病理特征,分析不同分型诊断VCL性质的价值.结果 良性组的吸烟、病变累及前联合、累及范围≥50%占比均低于恶性组(P<0.05).NBI模式的NI分型诊断VCL病变性质的准确度最高,其次为白光模式下的CHEN分型;NBI模式的NI分型鉴别VCL性质的Kappa值最高.结论 电子喉镜下白光模式及NBI模式对VCL性质鉴别均具有一定的价值,其中NBI模式下NI分型与病理检查的一致性最高.

Abstract

Objective To investigate the value of types of white light mode and narrow band imaging(NBI)mode under electronic laryngoscope in differential diagnosis of properties of vocal cord leukoplakia(V CL).Methods 136 VCL patients were examined by white light mode and NBI mode.The pathological characteristics of patients with different properties of lesions were compared,and the value of different types in the diagnosis of VCL properties was analyzed.Results The proportions of smoking,involvement of anterior commissure and involvement range ≥ 50%in the benign group were lower than those in the malignant group(P<0.05).The NI type of NBI mode had the highest accuracy in diagnosing the properties of VCL lesions,followed by the CHEN type of white light mode.The NI type of NBI mode had the highest Kappa value in identifying VCL properties.Conclusions Both white light mode and NBI mode under electronic laryngoscope have certain value in the identification of VCL properties,and the consistency between NI type ofNBI mode and pathological examination is the highest.

关键词

窄带成像技术/分型/声带白斑/性质

Key words

Narrow band imaging/Type/Vocal cord leukoplakia/Property

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基金项目

河南省医学科技攻关计划联合共建项目(LHGJ20220826)

出版年

2024
临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
参考文献量8
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