错误诊断的声音结节点的错误诊断
Camryn Marshall1, Tanner Lyons2, Ahmad Al Omari3
1Charles E. Schmidt College of Medicine, Florida Atlantic University, Boca Raton, Florida.
概括
声结节通常被误诊为其他良性声质量. 精确的诊断使用斯特罗波视频喉腔镜对于适当的治疗至关重要.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 喉腔病理学 喉腔病理学
- 声音科学 声音科学
背景情况:
- 良性声质量 (BVMs) 包含结节,多和囊.
- 一些医生使用"声结节"作为各种声质量的一般诊断.
- 这可能导致误诊,影响患者的预后和治疗.
研究的目的:
- 为了确定声结的错误诊断的频率.
- 评估声质量的初始诊断的准确性.
主要方法:
- 对56名成年语音患者的回顾性分析,最初被诊断为声结节.
- 通过三名失明的医生评级者对斯特罗波视频喉科镜头 (SVL) 的审查.
- 评级人员使用二进制量表和提供的清单确定了质量类型.
主要成果:
- 至少97%的最初被诊断为声结节的病例被发现是其他类型的质量.
- 声囊或伪囊是最常见的错误诊断的群体.
- 在大多数评估中观察到高的评级者间可靠性.
结论:
- 声节块经常被错误诊断.
- 专业知识和SVL对于准确识别声质量至关重要.
- 正确的诊断至关重要,因为治疗方法在BVM之间有很大差异.
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