超声造影在喉癌诊断中的应用

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目的 探讨超声造影(CEUS)诊断喉癌及术前T分期的价值.方法 2017年4月至2020年5月广西壮族自治区人民医院病理确诊的喉癌患者43例,术前分别行常规超声、CEUS及增强CT(CECT)检查.观察记录喉癌的超声造影特征,对比评价CEUS、常规超声及CECT对喉癌术前T分期及喉软骨侵犯的判断准确性.结果 常规超声、CEUS与CECT对喉癌肿瘤检出率差异无统计学意义(P>0.05).喉癌的超声造影增强模式以高增强、分布不均匀、快速增强、快速消退为主要特点.常规超声、CEUS及CECT对喉癌术前T分期的准确度分别81.4%、88.4%及90.7%,差异无统计学意义(P>0.05).CEUS较常规超声可更清晰地显示喉软骨连续完整性,CEUS评价喉软骨侵犯的灵敏度、特异度及准确度高于常规超声.结论 超声造影可无创性准确评估喉癌术前T分期及喉软骨侵犯.
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