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- Title
胃镜对咽喉部恶性病变诊断的临床应用价值.
- Authors
孙伟楠; 刘冰熔; 刘中宏; 金世柱; 刘丹
- Abstract
To investigate the clinical value of Gastroscopy in the diagnosis of pharynx and laryngeal malignant lesions. Methods: This study collected the patients from 2013 November to 2014 September in our because of hoarseness or pharyngeal foreign body sensation or with chief complaint of dysphagia, and gave them the examination by electronic laryngoscope or indirect laryngoscopy, we regarded the patients who found out the throat tumor or the dysplasia found by laryngoscope which could not determine the nature of the lesions as our target, about 12 cases of patients were regarded as the research objects in this study. Then we gave these patients gastroscopy and narrow band imaging (NBI) magnifying endoscopy examination to determine the nature and extent of the lesions. We regarded the pathological results as the gold standard of diagnosis, compared the diagnostic accuracy of laryngoscope and NBI magnifying endoscopy. Results: Among the 12 patients, a total of 15 were detected by laryngoscope and gastroscopy. The histological diagnoses of these lesions were as follows: 5 inflammatory, 3 simple hyperplasia of squamous epithelium, 6 squamous cell carcinoma, 1 schwannoma. The diagnostic accuracy by laryngoscope of these lesions was 40.0 %(6/15), which was lower than that of NBI magnifying gastroscopy93.3 %(14/15), x2=9.60, P=0.005.Conclusions: NBI magnifying gastroscopy has higher diagnostic accuracy than laryngoscope in diagnosis of laryngopharyngeal carcinoma. It fully proved the clinical value of gastroscopy in the diagnosis of laryngopharyngeal diseases. When we give the patient gastroscopy, observation of the pharynx and laryngeal is necessary.
- Publication
Progress in Modern Biomedicine, 2016, Vol 16, Issue 11, p2074
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2016.11.018