窄带成像内镜对声带白斑诊断作用的研究进展

张宝根; 倪晓光

doi:10.13201/j.issn.1001-1781.2019.11.027

窄带成像内镜对声带白斑诊断作用的研究进展

张宝根,
倪晓光^,

- 国家癌症中心国家肿瘤临床医学研究中心中国医学科学院北京协和医学院肿瘤医院内镜科(北京, 100021)

详细信息

通讯作者: 倪晓光,E-mail:nixiaoguang@126.com

中图分类号: R 739.65

收稿日期: 2018-10-21

The progress of narrow band imaging endoscopy in diagnosis of vocal cord leukoplakia

More Information

Corresponding author: , E-mail: nixiaoguang@126.com

Received Date: 21 October 2018

摘要

摘要: 1 声带白斑概述声带白斑是指声带表面被覆不易擦去的白色斑块或斑片状病灶,属于一种描述性临床诊断,发病率男性高于女性,单侧略多于双侧,累及喉部其他部位较少见。对于声带上所发现的白色病变,不能一概简单称之为声带白斑,应排除特异性/非特异性感染所致的白色病变,对经保守治疗后无法自行恢复,可能需要外科干预和治疗的才称之为真正的"声带白斑"[1-2]。声带白斑的发生多与黏膜受到长期慢性刺激有关,其中吸烟、饮酒以及咽喉反流与声带白斑的发生有明确
- 喉镜 /
- 窄带成像 /
- 声带白斑 /
- 诊断
Abstract: The appearances of vocal cord leukoplakia are largely identical in the macroscopic examination even though the pathological character may differ. This makes it difficult for physicians to evaluate the extent of dysplasia of vocal cord leukoplakia and detect the occurrence of canceration using the conventional laryngoscopy, which might result in overtreatment or undertreatment of vocal cord leukoplakia in different patients. Therefore, an accurate preoperative assessment of the pathological character of vocal cord leukoplakia shows clinical significance in the selection of an appropriate treatment plan and predicting the prognosis of a patient. Recent studies have found that narrow band imaging(NBI) endoscopy can facilitate the early and differential diagnosis of head and neck cancers by observing the intraepithelial papillary capillary loop(IPCL) patterns at the mucosal surfaces. In this paper, the recent progress of NBI endoscopy in the diagnosis of vocal cord leukoplakia is reviewed.
- laryngoscope /
- narrow band imaging /
- vocal cord leukoplakia /
- diagnosis

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