Archer C R, Sagel S S, Yeager V L, Martin S, Friedman W H
AJR Am J Roentgenol. 1981 Mar;136(3):571-5. doi: 10.2214/ajr.136.3.571.
The accuracy and clinical usefulness of both computed tomography (CT) and laryngography were evaluated in 30 patients with carcinoma of the larynx. The radiologic results were correlated with the surgical and pathologic findings. The accuracy in determining tumor compartmental localization (supraglottic, glottic, or subglottic) was as follows: CT provided the correct diagnosis in 26 cases. There were three false negative and one false positive diagnoses. Laryngography provided the correct diagnosis in 19 cases. There were six false negative and six false positive diagnoses. In virtually all cases, CT provided information equivalent to or more accurate than laryngography. CT is recommended as the radiologic procedure of choice when additional diagnostic information is required to supplement the findings of laryngoscopy in determining the feasibility of conservation surgery.
对30例喉癌患者的计算机断层扫描(CT)和喉造影的准确性及临床实用性进行了评估。将放射学检查结果与手术及病理结果进行了对比。在确定肿瘤分区定位(声门上、声门或声门下)方面的准确性如下:CT在26例中做出了正确诊断。有3例假阴性和1例假阳性诊断。喉造影在19例中做出了正确诊断。有6例假阴性和6例假阳性诊断。在几乎所有病例中,CT提供的信息等同于或比喉造影更准确。当需要额外的诊断信息以补充喉镜检查结果来确定保喉手术的可行性时,推荐CT作为首选的放射学检查方法。