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一个单一的盲目的前性队列研究关于喉超声波的诊断准确性
Sasitharan Paskaramoorthy1,2, Bee See Goh1,2, Faizah Mohd Zaki3,4
1Department of Otorhinolaryngology Head & Neck Surgery, Faculty of Medicine, University Kebangsaan Malaysia, Cheras, Malaysia.
Acta oto-laryngologica
|January 26, 2026
概括
喉超声波 (LUS) 是一种舒适的,非侵入性的工具,用于诊断儿科气道疾病,如喉. 它显示了高精度的 subglottic 狭窄和喉质量,提供一个不那么创伤的替代方案灵活的鼻喉科镜 (FNPLS).
科学领域:
- 儿科耳鼻喉科 儿科耳鼻喉科
- 儿科放射学 儿科放射学
- 诊断成像 诊断成像 诊断成像
背景情况:
- 儿科喉病理是常见的,喉发炎会导致婴儿声,声带结节会导致听障.
- 醒着灵活的鼻喉腔镜检查 (FNPLS) 是对诊断这些疾病的侵入性和不舒服的方法.
- 喉超声波 (LUS) 为清醒儿童的动态评估提供了一种非侵入性,无辐射的替代方案.
研究的目的:
- 为了比较FNPLS和LUS在儿童的诊断可重现性,与stridor或dysphonia.
- 评估和比较FNPLS和LUS手术之间的患者舒适度.
主要方法:
- 一项前性队列研究涉及32名儿童 (0-12岁) 患有斯特里多或失声症.
- 在两周内,FNPLS由耳鼻外科医生进行,随后由放射科医生进行盲目的LUS.
- 评估了灵敏度,特异性和舒适度 (VAS/FLACC尺度),FNPLS作为黄金标准.
主要成果:
- 在LUS表现出高灵敏度和特异性,用于下喉狭窄,喉质量病变,声带/,声带质量和喉.
- 总体而言,LUS的特异性很高,尽管在不同条件下敏感性有所不同.
- 与FNPLS相比,LUS对患者来说是显著更舒适的 (平均差异-5.66,p<0.001).
结论:
- 喉超声波 (LUS) 是一个有价值的,不那么创伤的辅助灵活的鼻喉镜 (FNPLS) 儿科喉评估.
- 在诊断下狭窄,喉质量以及随访评估方面,LUS特别有前途.
- 虽然FNPLS仍然是黄金标准,但LUS为常见的儿科气道问题提供了耐受良好的诊断选择.
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