[狭带成像中的喉喉反流的特征表现]
Niandong Zheng1, Jiangtao Liu1, Linlin Jiang1
1Department of Otolaryngology Head and Neck Surgery,the First Affiliated Hospital of Harbin Medical University,Harbin,150000,China.
概括
窄带成像 (NBI) 显示在诊断喉回流 (LPR) 中具有显著价值. 这种内镜技术有效地识别了特征性粘膜变化,有助于准确的LPR诊断和管理.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 胃肠病学 胃肠病学
- 医疗成像医学成像
背景情况:
- 喉回流 (LPR) 提出了诊断方面的挑战.
- 传统的诊断方法可能对细微的粘膜变化缺乏敏感性.
- 需要新的成像技术来改善LPR检测.
研究的目的:
- 评估狭带成像 (NBI) 对于喉回流 (LPR) 的诊断应用价值.
- 在诊断LPR时,将NBI与标准评分表 (RSI,RFS) 的有效性进行比较.
- 评估NBI在LPR检测中的一致性和诊断效率.
主要方法:
- 一组275名喉不适的患者接受了电子喉腔镜检查,使用白光和NBI.
- 患者完成了反流症状指数 (RSI) 和反流发现得分 (RFS) 尺度.
- 喉回流 (LPR) 诊断是基于2022年使用RSI和RFS分数的专家共识.
- 统计分析包括千平方测试和卡帕一致性分析,以比较NBI发现与基于尺度的诊断.
主要成果:
- 在LPR组中,NBI在82.6%的LPR组中发现了特征性表现,而在非LPR组中为18.8% (P<0.05).
- NBI和RSI/RFS评分表之间的一致性为82.2% (Kappa=0.605),表明了良好的协议.
- 对于LPR诊断,NBI的灵敏度为82.6%,特异性为81.2%,正预测值为90.8%,负预测值为67.6%.
结论:
- 窄带成像 (NBI) 是一种有价值的内镜工具,用于诊断喉回流 (LPR).
- NBI有效地可视化了喉和喉粘膜中的微血管变化,有助于检测LPR.
- 该技术与已建立的诊断标准保持良好的一致性,提高了LPR的诊断准确性.
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