基于喉镜检查的声带白斑诊断评分系统。
Laryngoscopy-based scoring system for the diagnosis of vocal fold leukoplakia.
作者信息
Ni Xiao-Guang, Zhu Ji-Qing, Tie Cheng-Wei, Wang Mei-Ling, Zhang Wei, Wang Gui-Qi
机构信息
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.
Department of Endoscopy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital and Shenzhen Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Shenzhen, China.
出版信息
J Laryngol Otol. 2024 Mar;138(3):331-337. doi: 10.1017/S0022215123000683. Epub 2023 Apr 26.
OBJECTIVE
To propose a scoring system based on laryngoscopic characteristics for the differential diagnosis of benign and malignant vocal fold leukoplakia.
METHODS
Laryngoscopic images from 200 vocal fold leukoplakia cases were retrospectively analysed. The laryngoscopic signs of benign and malignant vocal fold leukoplakia were compared, and statistically significant features were assigned and accumulated to establish the leukoplakia finding score.
RESULTS
A total of five indicators associated with malignant vocal fold leukoplakia were included to construct the leukoplakia finding score, with a possible range of 0-10 points. A score of 6 points or more was indicative of a diagnosis of malignant vocal fold leukoplakia. The sensitivity, specificity and accuracy values of the leukoplakia finding score were 93.8 per cent, 83.6 per cent and 86.0 per cent, respectively. The consistency in the leukoplakia finding score obtained by different laryngologists was strong (kappa = 0.809).
CONCLUSION
This scoring system based on laryngoscopic characteristics has high diagnostic value for distinguishing benign and malignant vocal fold leukoplakia.
目的
提出一种基于喉镜特征的评分系统，用于鉴别声带白斑的良恶性。
方法
回顾性分析200例声带白斑病例的喉镜图像。比较声带良性和恶性白斑的喉镜表现，确定具有统计学意义的特征并进行累加，以建立白斑发现评分系统。
结果
共纳入5项与声带恶性白斑相关的指标来构建白斑发现评分系统，分数范围为0至10分。6分及以上提示诊断为声带恶性白斑。白斑发现评分系统的敏感度、特异度和准确度分别为93.8%、83.6%和86.0%。不同喉镜医师获得的白斑发现评分一致性较强（kappa = 0.809）。
结论
这种基于喉镜特征的评分系统在鉴别声带白斑的良恶性方面具有较高的诊断价值。
Zotero 插件