计算机断层扫描与喉造影术：相对诊断价值的比较

Computed tomography vs laryngography: a comparison of relative diagnostic value.

作者信息

Friedman W H, Archer C R, Yeager V L, Katsantonis G P

出版信息

Otolaryngol Head Neck Surg. 1981 Jul-Aug;89(4):579-86. doi: 10.1177/019459988108900414.

DOI:10.1177/019459988108900414

Abstract

The computed tomography (CT) scans and laryngograms of 25 patients with laryngeal cancer were compared and evaluated in an assessment of the diagnostic accuracy of each modality in the supraglottic, glottic, and subglottic regions. Fourth generation scanners were used in these patients, all of whom subsequently underwent laryngectomy or partial laryngectomy. The clinical superiority of CT scanning was evident in several areas--confirming clinical impressions that laryngography is not as accurate as CT, is frequently misleading, and offers no significant advantages over CT. In this regard, we now believe that computed tomography is the most important radiologic adjunct in the diagnosis of laryngeal cancer, and we no longer order the laryngogram on a routine basis.

摘要

对25例喉癌患者的计算机断层扫描（CT）和喉造影进行了比较和评估，以评价每种检查方法对上声门、声门和声门下区域的诊断准确性。这些患者使用的是第四代扫描仪，所有患者随后均接受了喉切除术或部分喉切除术。CT扫描在几个方面显示出明显的临床优势——证实了临床印象，即喉造影不如CT准确，经常产生误导，且与CT相比没有显著优势。在这方面，我们现在认为计算机断层扫描是喉癌诊断中最重要的放射学辅助检查，我们不再常规安排喉造影检查。