外科医生进行的透皮喉超声波,用于在全甲状腺切除术后评估声带:一项前性研究: 原创文章:
Leonardo Rossi1, Piermarco Papini2, Andrea De Palma2
1Department of Surgical, Medical and Molecular Pathology and Critical Area, University of Pisa, Pisa, Italy. rossi.leonardo.phd@gmail.com.
Langenbeck's archives of surgery
|June 11, 2024
概括
外科医生进行的透皮喉超声波 (TLUS) 是一种可行且准确的方法,用于在甲状腺手术前评估声带的移动性. 这种非侵入性技术可以作为一个有价值的初始查工具,补充传统的检查.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 内分泌学 在内分泌学.
- 医疗成像医学成像
背景情况:
- 对接受甲状腺手术的患者来说,声带移动性的评估至关重要.
- 像柔性鼻喉镜术这样的传统方法可能是侵入性的和不舒服的.
- 需要非侵入性,易于使用的评估工具.
研究的目的:
- 评估外科医生进行的穿皮喉超声波 (TLUS) 的可行性和有效性.
- 将TLUS与灵活的鼻喉镜进行比较,以评估甲状腺手术患者的声带流动性.
主要方法:
- 从2022年2月到12月进行了前性观察研究.
- 180名接受全甲状腺切除术的患者接受了TLUS,随后由盲目耳鼻喉科医生进行灵活的鼻喉镜检查.
- 根据TLUS可评估性对患者进行了分类,并分析了与非可评估性相关的因素.
主要成果:
- TLUS表现出高的诊断性能:100%的灵敏度,99.4%的特异性,94.4%的PPV,100%的NPV和99.4%的准确性.
- 科恩的卡帕值为0.984,表明TLUS和灵活鼻喉镜之间有很好的一致性.
- 诸如男性性别,年龄较大,BMI较高,甲状腺体积较大和子周长增加等因素与不能通过TLUS评估的患者有关.
结论:
- 透皮喉超声波 (TLUS) 是一个有效的,易于执行的,非侵入性的,无痛的替代品,用于声带评估.
- TLUS可以作为一级检查或查工具来选择灵活鼻喉镜检查的患者.
- 建议将TLUS纳入常规甲状腺超声波检查中.
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