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[喉与咽的放射学正常解剖及成像技术]

[Radiological normal anatomy of the larynx and pharynx and imaging techniques].

作者信息

Nemec S F, Krestan C R, Noebauer-Huhmann I M, Formanek M, Frühwald J, Peloschek P, Kainberger F, Czerny C

机构信息

Klinische Abteilung für Neuroradiologie und muskuloskelettale Radiologie, Universitätsklinik für Radiodiagnostik, Medizinische Universität Wien, Währinger Gürtel 18-20, A-1090, Wien, Osterreich.

出版信息

Radiologe. 2009 Jan;49(1):8-16. doi: 10.1007/s00117-008-1761-3.

DOI:10.1007/s00117-008-1761-3
PMID:19023558
Abstract

The larynx and the pharynx represent anatomically as well as functionally a very complex organ which serves as an airway and a nutrition channel. Knowledge of anatomy and anatomical topography is therefore a fundamental basis for the evaluation of any pathological process. Beside the clinical examination and endoscopy performed by ear, nose and throat specialists, imaging techniques play a crucial role in pre-therapeutic and post-therapeutic diagnostics. The radiologist employs a conventional x-ray swallow examination, as well as contrast-enhanced multidetector computed tomography (MDCT), magnetic resonance imaging (MRI), positron emission tomography (PET) and positron emission tomography-computed tomography (PET-CT), depending on the medical problem in question. The following article demonstrates the functional and especially the structural anatomy of the larynx and the pharynx. Furthermore, the broad range of imaging techniques in clinical use is discussed.

摘要

喉和咽在解剖学及功能上都是非常复杂的器官,它们作为气道和营养通道。因此,解剖学及解剖学局部解剖知识是评估任何病理过程的基本基础。除了耳鼻喉科专家进行的临床检查和内镜检查外,成像技术在治疗前和治疗后的诊断中起着至关重要的作用。根据所涉及的医学问题,放射科医生会采用传统的X线吞咽检查,以及对比增强多排螺旋计算机断层扫描(MDCT)、磁共振成像(MRI)、正电子发射断层扫描(PET)和正电子发射断层扫描-计算机断层扫描(PET-CT)。以下文章展示了喉和咽的功能,尤其是其结构解剖。此外,还讨论了临床中广泛使用的成像技术。

相似文献

1
[Radiological normal anatomy of the larynx and pharynx and imaging techniques].[喉与咽的放射学正常解剖及成像技术]
Radiologe. 2009 Jan;49(1):8-16. doi: 10.1007/s00117-008-1761-3.
2
[Imaging diagnostics of the pharynx and larynx. Anatomy--pathology].
Radiologe. 2009 Jan;49(1):7. doi: 10.1007/s00117-008-1788-5.
3
[Pathological changes of the hypopharynx in the focus of imaging].[下咽影像学病灶的病理变化]
Radiologe. 2009 Jan;49(1):36-42. doi: 10.1007/s00117-008-1764-0.
4
[(18)F]-FDG PET/CT imaging for detection of nodal metastases in patients with squamous cell carcinoma of the pharynx and larynx: comparison with CT.[(18)F]-FDG PET/CT 成像用于检测头颈部鳞状细胞癌患者的淋巴结转移:与 CT 的比较。
Jpn J Radiol. 2016 Mar;34(3):203-10. doi: 10.1007/s11604-015-0510-6. Epub 2015 Dec 15.
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[Imaging diagnostics of the pharynx and larynx].[咽喉部的影像诊断]
Radiologe. 2005 Sep;45(9):828-36. doi: 10.1007/s00117-005-1257-3.
6
Magnetic resonance imaging of the larynx.
Radiol Clin North Am. 1989 Mar;27(2):393-406.
7
Magnetic resonance imaging of the pharynx and larynx.咽喉部的磁共振成像
Top Magn Reson Imaging. 1994 Fall;6(4):224-40.
8
[Lipoma of the larynx and hypopharynx].[喉和下咽脂肪瘤]
Otolaryngol Pol. 1993;47(2):176-80.
9
[Methods of early diagnosis of malignant tumors of the otorhinolaryngologic organs (review of the literature)].[耳鼻咽喉器官恶性肿瘤的早期诊断方法(文献综述)]
Zh Ushn Nos Gorl Bolezn. 1974 Nov-Dec(6):101-5.
10
[Malignant tumors of the pharynx].
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1
[Imaging in carcinoma of the upper respiratory tract. TNM classification of neoplastic lesions].
Radiologe. 2011 Sep;51(9):805-15; quiz 816. doi: 10.1007/s00117-011-2228-5.
2
Three-dimensional imaging of the larynx for pre-operative planning of laryngeal framework surgery.喉的三维成像用于喉框架手术的术前规划。
Eur Arch Otorhinolaryngol. 2010 Apr;267(4):557-63. doi: 10.1007/s00405-009-1129-y. Epub 2009 Oct 28.

本文引用的文献

1
Head and neck squamous cell carcinoma: usefulness of diffusion-weighted MR imaging in the prediction of a neoadjuvant therapeutic effect.头颈部鳞状细胞癌:扩散加权磁共振成像在预测新辅助治疗效果中的应用价值
Eur Radiol. 2009 Jan;19(1):103-9. doi: 10.1007/s00330-008-1108-5. Epub 2008 Jul 19.
2
A systematic review and meta-analysis of the role of positron emission tomography in the follow up of head and neck squamous cell carcinoma following radiotherapy or chemoradiotherapy.正电子发射断层扫描在头颈部鳞状细胞癌放疗或放化疗后随访中作用的系统评价和荟萃分析
Clin Otolaryngol. 2008 Jun;33(3):210-22. doi: 10.1111/j.1749-4486.2008.01688.x.
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Imaging of the larynx and hypopharynx.
喉和下咽的影像学检查。
Eur J Radiol. 2008 Jun;66(3):460-79. doi: 10.1016/j.ejrad.2008.03.027. Epub 2008 May 20.
4
The role of PET-CT in the management of patients with advanced cancer of the head and neck.正电子发射断层显像-计算机断层扫描(PET-CT)在晚期头颈癌患者管理中的作用
Curr Oncol Rep. 2008 Mar;10(2):149-55. doi: 10.1007/s11912-008-0023-x.
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Clinical utility of 18F-FDG PET/CT in assessing the neck after concurrent chemoradiotherapy for Locoregional advanced head and neck cancer.18F-FDG PET/CT在评估局部晚期头颈癌同步放化疗后颈部情况中的临床应用
J Nucl Med. 2008 Apr;49(4):532-40. doi: 10.2967/jnumed.107.044792. Epub 2008 Mar 14.
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Differentiation of benign and malignant pathology in the head and neck using 3T apparent diffusion coefficient values: early experience.利用3T表观扩散系数值鉴别头颈部良恶性病变:早期经验
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Hypopharyngeal cancer.下咽癌
Top Magn Reson Imaging. 2007 Aug;18(4):243-58. doi: 10.1097/RMR.0b013e3181570c3f.
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Utility of PET/CT imaging performed early after surgical resection in the adjuvant treatment planning for head and neck cancer.手术切除后早期进行的PET/CT成像在头颈部癌辅助治疗计划中的应用价值。
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[Functional anatomy of the larynx from clinical viewpoints. Part I: development, laryngeal skeleton, joints, insertion structures, musculature].[从临床角度看喉的功能解剖。第一部分:发育、喉骨架、关节、附着结构、肌肉组织]
HNO. 2007 Jul;55(7):583-98. doi: 10.1007/s00106-007-1556-2.
10
[Functional anatomy of the larynx from clinical points of view: part II: Laryngeal mucous membrane, blood supply, innervation, lymphatic drainage, age-related changes].[从临床角度看喉的功能解剖:第二部分:喉黏膜、血液供应、神经支配、淋巴引流、年龄相关变化]
HNO. 2007 Aug;55(8):661-75; quiz 676. doi: 10.1007/s00106-007-1557-1.