论文部分内容阅读
目的：探讨声门型喉癌的ＣＴ诊断价值。材料和方法：分析本院１９９３～１９９８年经手术病理证实的７０例声门型喉癌的资料。结果：ＣＴ图像上发现６５例阳性，５例阴性。６５例中累及左侧声带、右侧声带和双侧声带分别为２５例、 ２１例和 １９例。 ＣＴ显示声门下区、前联合、声门旁间隙、室带和甲状软骨受犯，以及颈部淋巴结转移与病理的符合率为８９％。结论：ＣＴ检查对喉深部结构显示清晰，明显提高了声门型喉癌临床分期的准确性，为保存喉功能而选择手术方法时，提供了重要依据。
Objective: To investigate the value of CT in the diagnosis of glottic cancer. Materials and Methods: The data of 70 cases of glottic carcinoma confirmed by surgery and pathology in our hospital from 1993 to 1998 were analyzed. Results: 65 cases were found positive on CT images and 5 cases were negative on CT images. 65 cases involving the left vocal cord, right vocal cord and bilateral vocal cord were 25 cases, 21 cases and 19 cases. CT showed subglottic area, anterior commissure, supraglottic space, ventricular and thyroid cartilage involvement, and cervical lymph node metastasis and pathology in line with the rate of 89%. Conclusion: The CT examination shows the deep structure of the larynx clearly and obviously improves the clinical staging accuracy of the glottic laryngeal carcinoma. It provides an important basis for selecting the surgical method for preserving laryngeal function.