超声在甲状腺术后声嘶病因判断中的应用

王华; 侯瑾; 李小鹏; 姜珏; 孙蕾; 周琦

doi:10.13201/j.issn.1001-1781.2019.12.014

超声在甲状腺术后声嘶病因判断中的应用

- 1. 西安交通大学第二附属医院超声科(西安, 710004);
- 2. 西安交通大学第二附属医院耳鼻咽喉头颈外科

详细信息

通讯作者: 周琦,E-mail:13909232905@163.com

中图分类号: R581

收稿日期: 2019-04-17

Application of ultrasonography in etiologic judgment of hoarseness after thyroidecomy

- 1 Department of Ultrosound, the Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710004, China;
- 2 Department of Otolaryngology Head and Neck Surgery, the Second Affiliated Hospital of Xi'an Jiaotong University

More Information

Corresponding author: ZHOU Qi, E-mail: 13909232905@163.com

Received Date: 17 April 2019

摘要

摘要: 目的:探讨超声在甲状腺术后声嘶病因判断中的应用价值。方法:对63例甲状腺术后声嘶患者行喉部超声检查,观察声带、杓状软骨、梨状窝、甲状腺术区及喉返神经通路情况,以电子喉镜结果为金指标,比较2种方法之间的差异。结果:63例患者中,超声诊断左侧声带麻痹29例,右侧声带麻痹24例,双侧声带麻痹2例,右侧声带息肉1例,左侧声带息肉3例,任克层水肿1例,喉部声像图正常3例。超声对甲状腺术后声嘶病因判断的准确性为92.1%,敏感性为93.3%,特异性为66.7%。结论:超声不仅可以观察喉部结构,而且能够观察甲状腺术区及喉返神经通路情况,操作无侵入性,对甲状腺术后声嘶病因判断的准确率较高,有一定临床应用价值。
- 超声检查 /
- 声嘶 /
- 甲状腺疾病
Abstract: Objective: To explore the application value of ultrasound in etiologic judgement of hoarseness after thyroidecomy. Method: Sixty-three cases of hoarseness after thyroidecomy were examed by laryngeal ultrasonography. Vocal cord, arytenoid cartilage, pyriform fossa, thyroid operation area and recurrent laryngeal nerve pathway were evaluated. Regard electronic laryngoscope results as gold standard and compare the differences between the two methods. Result: Sixty-three patients were detected by ultrasound, then, 29 cases were diagnosed with left vocal cord paralysis, 24 cases with right vocal cord paralysis, 2 cases with bilateral vocal cord paralysis, 1 case with right vocal cord polyp, 3 cases with left vocal cord polyp, 1 case with renke layer edema, and 3 cases has normal laryngeal imaging. The accuracy of ultrasonography in determining the etiology of hoarseness after thyroidecomy is 92.1%, the sensitivity is 93.3%, and the specificity is 66.7%.Conclusion: The ultrasonography can not only show laryngeal structures, but also display thyroid operation area and recurrent laryngeal nerve pathway. Moreover, as an non-invasive method, ultrasonography has high accuracy in etiologic judgement of hoarseness after thyroidecomy and certain clinical application values.
- ultrasonography /
- hoarseness /
- thyroid diseases

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