【摘要】 目的:评价CT对喉癌的诊断价值。材料与方法:喉癌患者76例,男70例,女6例。进行喉镜、X线平片与造影、CT扫描等项检查并分析比较。结果:间接喉镜、光导纤维喉镜、喉造影、喉断层摄片等对肿瘤的整体显示均不够满意。用高分辨率薄层加增强扫描观察,不仅可以看到喉腔内的形态变化。而且可以客观地评价肿瘤的大小、形态、位置、侵犯深部结构的界线以及喉软骨的破坏、淋巴结的肿大与转移情况。结论:CT是诊断喉癌比较理想的方法,还可以为其治疗、术前制定手术方案、制定放疗计划、估计预后提供可靠的依据,但需结合临床病史、喉镜、X线检查进行综合分析,才能得出满意的结果。更多还原

【Abstract】 Purpose: To evaluate applicability of CT in the diagnosis of laryngocarcinoma. Materials and Methods: 76 patients with laryngocarcinoma including 70 cases of male and 6 cases of female were analyzed and examinated by laryngoscope, X - plain film, radiography, and were compared with CT scan. Results: Tumor’s whole displayed by indirect laryngoscope, optical fiber laryngoscope, radiography and tomography were insufficient satisfactory but when thin slice enhancement scan with high resolution was used, the morphologic changes in laryn-geal cavity not only could be found also tumor’s size, form, position, invasive limit of deep - part structure, destructive degree of laryngeal cartilage, sweling and metastasis of lymphonodus could be objectively evaluated. Conclusions: CT is a more practicable method for the diagnosis of laryngocarcinoma and can provide reliable evidences for the proposal of pre - and post - operative therapeutic program. However, CT still needs overall analysis combined with clinical history, laryngoscope, and X - ray examination to obtain the accurate diagnosis.更多还原