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目的探讨螺旋CT扫描在喉癌及喉咽癌颈部淋巴结转移中的应用价值。方法对2014年1月至2015年1月我院收治的喉癌及喉咽癌患者46例进行回顾分析。所有患者均经术后病理实验证实为喉癌与喉咽癌,明确发生颈部淋巴结转移患者21例,术前所有患者均行螺旋CT检查,比较病理结果与螺旋CT对喉癌及喉咽癌的病理分期及颈部淋巴结转移的诊断结果。结果 CT对喉癌及喉咽癌的术前T分期结果与术后病理T分期结果比较无显著差异,P>0.05,不具有统计学意义;CT对颈部淋巴结转移检出率与术后病理结果比较无显著差异,P>0.05,21例淋巴结转移患者螺旋CT增强显示均可见淋巴结不同程度增大,18例患者淋巴结相互融合成团并呈现不规则、分叶状,淋巴结界限不清并与周围组织有粘连,中心可出现低密度坏死区或环样强化。结论术前螺旋CT检查可准确评估患者病理分期,并且对颈部淋巴结转移的检出率较高,可用于指导临床手术治疗及术后康复方案的选择,具有应用及推广价值。
Objective To investigate the value of spiral CT in cervical lymph node metastasis of laryngeal carcinoma and hypopharyngeal carcinoma. Methods Forty-six patients with laryngeal and hypopharyngeal carcinoma admitted to our hospital from January 2014 to January 2015 were retrospectively analyzed. All patients were confirmed by postoperative pathology laryngeal and hypopharyngeal carcinoma, clear the occurrence of cervical lymph node metastases in 21 patients, preoperative all patients underwent spiral CT examination, the pathological results and spiral CT on laryngeal and hypopharyngeal carcinoma The pathological staging and cervical lymph node metastasis diagnosis. Results There was no significant difference between preoperative T stage and postoperative pathological T staging in CT and CT in the diagnosis of laryngeal cancer and hypopharyngeal carcinoma (P> 0.05). The detection rate of CT in cervical lymph node metastasis and postoperative pathology The results were no significant difference, P> 0.05, 21 cases of lymph node metastases showed enhanced spiral CT showed increased lymph nodes in varying degrees, 18 cases of lymph nodes merge into groups and showed irregular, lobulated, lymph nodes and unclear Adhesion around the organization, the center may be low-density necrosis area or ring-like enhancement. Conclusion Preoperative helical CT examination can accurately assess the pathological stage of patients, and the detection rate of cervical lymph node metastasis is high, which can be used to guide the choice of clinical surgical treatment and postoperative rehabilitation programs, which has the value of application and promotion.