Fernández Liesa R, Rueda Gormedino P, Marin Garcia J, Gil Paraiso P, Mateo Blanco A, Oritz García A
Servico de Orl, Hospital Miguel Servet, Zaragoza.
Acta Otorrinolaringol Esp. 1995 May-Jun;46(3):198-202.
Seventy one patients afflicted of supraglottic carcinoma were included in a prospective study whose purpose was to determine which of three optical tools available at the medical office--indirect mirror laryngoscopy, laryngotelescopy and fiberscopic examination--is the most suitable to examine the larynx of patients with this disease. No significant differences were found among these explorations in the easily observable regions, as the hypopharyngeal areas and the epilarynx. The examination of the pericommisural region--the most difficult area to see--was easier with the flexible fiberscope. The laryngotelescope provided better visualization than the mirror laryngoscopy. Exploration with the new optical devices did not correct the errors in the interpretation of images made with the mirror laryngoscopy. We conclude that flexible fiberoptic laryngoscopy provides better information than other diagnostic tools for the assessment of patients with supraglottic carcinoma at the medical office.
71例声门上癌患者被纳入一项前瞻性研究，该研究旨在确定医疗办公室现有的三种光学工具——间接喉镜检查、直接喉镜检查和纤维内镜检查——哪一种最适合检查患有这种疾病的患者的喉部。在易于观察的区域，如下咽区域和喉上部，这些检查之间未发现显著差异。使用柔性纤维内镜更容易检查连合周区域——最难看到的区域。直接喉镜检查比间接喉镜检查能提供更好的视野。使用新的光学设备进行检查并不能纠正间接喉镜检查所产生的图像解读错误。我们得出结论，对于在医疗办公室评估声门上癌患者，柔性纤维喉镜检查比其他诊断工具能提供更好的信息。
