超声与mri在喉癌诊断及临床分期中的对比分析

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1、中国临床医学影像杂志2011年第22卷第2期JChinClinMedImaging,2011,Vol．22,No．2·83·超声与MRI在喉癌诊断及临床分期中的对比分析12222胡巧，朱尚勇，陈功泉，张哲，高泳（1.广西壮族自治区人民医院超声科，广西南宁530021；2.广西医科大学第一附属医院，广西南宁530021）[摘要]目的：对比分析超声与MRI在喉癌诊断及术前T分期中的临床应用价值。方法：36例喉癌患者术前分别行超声及MRI检查，并与手术所见和病理结果进行对照分析。结果：36例喉癌，超声检出34例，MRI检出32例。在T分期中

2、，超声对T1、T2、T3、T4期喉癌分期的准确度分别为90.9%、60.0%、87.5%、85.7%，MRI分别为63.6%、70.0%、75.0%、100%，两者准确度差异无统计学意义（χ2值分别为2.329、0.220、0.410、1.077，P值均＞0.10）。超声和MRI对肿瘤T分期总体符合率分别为80.6%和75.0%2，两者结果比较差异无统计学意义（χ=0.321，P=0.778）。结论：超声能对喉癌的位置、大小及肿瘤浸润范围提供较为全面的信息，可作为纤维喉镜和CT、MRI等检查的有效补充。[关键词]喉肿瘤；肿瘤分期；超声

3、检查；磁共振成像[中图分类号]R739.65；R445.1；R445.2[文献标识码]A[文章编号]1008－1062（2011）02－0083－03ComparisonofultrasonographyandMRimagingindiagnosingandstagingoflaryngealcarcinomaHUQiao1,ZHUShang-yong2,CHENGong-quan2,ZHANGZhe2,GAOYong2(1.DepartmentofDiagnosticUltrasound,thePeople’sHospitalofG

4、uangxiZhuangAutonomousRegion,Nanning530021,China;2.FirstAffiliatedHospitalofGuangxiMedicalUniversity,Nanning530021,China)Abstract:Objective:TocomparethevalueofultrasonographyandMRimagingindiagnosingandT-stagingoflaryngealcarcinoma.Methods:UltrasonographyandMRIwereperfor

5、medinthirty-sixpatientswithlaryngocarcinoma.Histopathologicandsurgeryfindingswereperformedtovalidateimagingfindings.Results:In36patientswithlaryngealcarcinoma,34caseswerefoundbyultrasonography,32casesweredetectedonMRI.TheaccuracyofultrasonographyandMRIinthediagnosisofT1

6、,T2,T3,T4staginglaryngocarcinomawere90.9%,60.0%,87.5%,85.7%and63.6%,70.0%,75.0%,100%,respectively.TherewerenostatisticaldifferencesobservedinaccuracyratingbetweenultrasonographyandMRI(χ2were2.329,0.220,0.410,1.077,respectively,allP＞0.10).TheoverallaccuracyratinginT-stag

7、ingwas80.6%forultrasonography,andwas75.0%forMRI.TherewasnosignificantdifferencebetweenthetwomethodsinoverallT-stagingaccuracyrating(χ2=0.321,P=0.778).Conclusions:Ultrasonographycanprovideadequateinformationwiththelocation,sizeandinfiltrationoflaryngealcarcinoma,itisacom

8、plementarymethodforlaryngoscopy,CTandMRimagingassessmentoflaryngealcarcinoma.Keywords:Laryngealneoplasms;Neopl