Dejonckere P H, Crevier L, Elbaz E, Marraco M, Millet B, Remacle M, Woisard V
Institute of Phoniatrics, Universiteit Utrecht, The Netherlands.
Rev Laryngol Otol Rhinol (Bord). 1998;119(4):259-60.
The purpose of this study is to examine the most reliable and valid way for rating and comparing videolaryngostroboscopic recordings with a differentiated protocol. 30 high quality videostroboscopic recordings (2-5 minutes) of all kinds of vocal fold pathology were rated independently by 7 experienced laryngologists/phoniatricians, using a standardized and exhaustive protocol form. Interobserver agreement is high for amplitude, mucosal wave, and type of closure/symmetry, is satisfactory for regularity, consistency and vibration of the lesion (if any), and is rather moderate to low for grade of glottic closure and symmetry. As a general rule, raters trained with the protocol form show higher agreement than raters without such experience. Intraobserver consistency is good for all parameters.
本研究的目的是通过差异化方案检验对视频喉镜频闪摄影记录进行评分和比较的最可靠、有效的方法。7名经验丰富的喉科医生/嗓音科医生使用标准化且详尽的方案表格，对30份各类声带病变的高质量频闪视频记录（2 - 5分钟）进行独立评分。观察者间在振幅、黏膜波以及闭合类型/对称性方面的一致性较高，在病变（如有）的规律性、一致性和振动方面令人满意，而在声门闭合程度和对称性分级方面则为中等至较低。一般来说，接受过方案表格培训的评分者比没有此类经验的评分者一致性更高。观察者内所有参数的一致性良好。
