Gosepath K, Hinni M, Mann W
Ann Otolaryngol Chir Cervicofac. 1994;111(1):1-5.
When considering patient comfort, length of testing, availability, the increased diagnostic capabilities and relative cost, we believe that ultrasonography is an important addition to the diagnostic tests currently used in otolaryngology. It is a noninvasive method with high sensitivity. When one includes the techniques of ultrasound-guided fine-needle aspiration, cutting biopsy and colour-coded duplex sonography, the specificity is further augmented and is superbly suited for demonstrating, detecting and excluding pathologies in the head and neck region. It will increase the accuracy of preoperative staging of patients with head and neck squamous cell cancer. It is even possible that it may change the indications for therapeutic and elective neck treatment. In addition it is valuable during the follow-up of patients treated with radiation or/and chemotherapy. In many situations, ultrasonography is superior to CT or MRI because it is a dynamic imaging technique with the possibility of simultaneous palpation of the lesion. It does not force the surgeon to reconstruct anatomy from computer generated slices which leave gaps that may miss disease and it can detect major vessel invasion by tumour.
在考虑患者舒适度、检查时长、可及性、增强的诊断能力及相对成本时，我们认为超声检查是目前耳鼻喉科诊断检查中的一项重要补充。它是一种具有高灵敏度的非侵入性方法。当纳入超声引导下细针穿刺、切割活检及彩色编码双功超声等技术时，特异性进一步提高，非常适合用于显示、检测和排除头颈部区域的病变。它将提高头颈部鳞状细胞癌患者术前分期的准确性。甚至有可能改变治疗性和选择性颈部治疗的指征。此外，在接受放疗或/和化疗患者的随访中，它也很有价值。在许多情况下，超声检查优于CT或MRI，因为它是一种动态成像技术，有可能同时触诊病变。它不会迫使外科医生从计算机生成的切片中重建解剖结构，而这些切片可能会留下遗漏疾病的间隙，并且它可以检测肿瘤对主要血管的侵犯。
