Yue Z Z, Zhang Y L, Wang Q P, Du J Q, Lin P
Department of Otolaryngology Head and Neck Surgery,the First Central Hospital of Tianjin,Tianjin Institute of Otolaryngology,Tianjin,300192,China.
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2017 Mar 20;31(6):428-430. doi: 10.13201/j.issn.1001-1781.2017.06.005.
To explore the application of narrow band imaging(NBI) technology in laryngeal tumor.From Appril 2014 to Otober 2016, three hundred and twenty-two patients with suspected laryngeal cancer or precancerous lesions were enrolled in the First Central Hospital of Tianjin. Each patient was examined by electronic nasopharyngolaryngoscope under white light and NBI model. The sensitivity, specificity and accuracy of laryngeal tumor diagnosis under white light mode and NBI mode was compared based on pathological results. The sensitivity, specificity and accuracy of white light mode in laryngeal tumor diagnosis were 77.17%,62.07% and 74.36%, respectively whereas the NBI model were 92.91%,77.59% and 90.06%, respectively.The sensitivity and accuracy of NBI model in laryngeal tumor diagnosis were significantly higer than white light model(<0.05),but not the specificity. The electronic nasopharyngolaryngoscope of NBI technology not only found early lesions of laryngeal cancer, but also can improve the sensitivity and accuracy of laryngeal tumor diagnosis.
探讨窄带成像（NBI）技术在喉肿瘤中的应用。2014年4月至2016年10月，天津市第一中心医院纳入322例疑似喉癌或癌前病变患者。每位患者均在白光和NBI模式下接受电子鼻咽喉镜检查。根据病理结果比较白光模式和NBI模式下喉肿瘤诊断的敏感性、特异性和准确性。白光模式下喉肿瘤诊断的敏感性、特异性和准确性分别为77.17%、62.07%和74.36%，而NBI模式分别为92.91%、77.59%和90.06%。NBI模式在喉肿瘤诊断中的敏感性和准确性显著高于白光模式（<0.05），但特异性无差异。NBI技术的电子鼻咽喉镜不仅能发现喉癌早期病变，还能提高喉肿瘤诊断的敏感性和准确性。
