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Application of Transcutaneous Laryngeal Ultrasonography in the Diagnosis of Vocal Fold Polyps.
Ultrasound in Medicine & Biology ( IF 2.4 ) Pub Date : 2020-06-24 , DOI: 10.1016/j.ultrasmedbio.2020.05.014
Hua Wang 1 , Xiaoxue Yang 1 , Jin Hou 2 , Xiaopeng Li 1 , Lei Sun 1 , Jue Jiang 1 , Qi Zhou 1
Affiliation  

The aim of this study was to explore the value of transcutaneous laryngeal ultrasonography in the diagnosis of vocal fold polyps. From December 2016 to June 2019, 87 patients with vocal fold polyps diagnosed pathologically in the Otolaryngology Head and Neck Surgery Department of the Second Affiliated Hospital of Xi'an Jiaotong University were enrolled and examined by electronic laryngoscopy and percutaneous laryngeal ultrasound on the same day before operation. To observe the effect of calcification length as a percentage of thyroid cartilage at the glottic level on vocal fold display, the characteristics of ultrasound images of vocal fold polyps and the value of transcutaneous laryngeal ultrasonography in the diagnosis of vocal fold polyps were assessed. Among 87 patients, the calcification rate of thyroid cartilage at the glottic level was 33.3%. The differences in calcification rate and percentage of calcification length between males and females were statistically significant. The rate of detection of vocal folds decreased gradually with an increase in calcification length percentage. Imaging features of vocal fold polyps were hypo-echoic with a clear boundary and regular shape. The detection rates for circular and non-circular polyps were 92.0% and 70.6%. Ultrasound was more likely to detect circular than non-circular polyps; however, the difference was not significant. Transcutaneous laryngeal ultrasonography can identify the morphology and location of vocal fold polyps and is non-invasive and highly accurate. Therefore, it has the potential to be an effective supplement to laryngoscopy for initial screening and post-operative review of vocal fold polyps.



中文翻译:

经皮喉超声在声带息肉诊断中的应用。

本研究的目的是探讨经皮喉超声检查在声带息肉诊断中的价值。2016年12月至2019年6月,西安交通大学第二附属医院耳鼻咽喉头颈外科病理诊断的声带息肉患者87例,于前一天进行电子喉镜和经皮喉超声检查。手术。为观察声门水平钙化长度占甲状软骨百分比对声带显示的影响,评估声带息肉超声图像特征及经皮喉超声对声带息肉诊断的价值。在 87 名患者中,声门水平甲状软骨钙化率为33.3%。男女钙化率和钙化长度百分比差异有统计学意义。随着钙化长度百分比的增加,声带的检出率逐渐降低。声带息肉影像学特征为低回声,边界清晰,形状规则。圆形和非圆形息肉的检出率分别为92.0%和70.6%。超声比非圆形息肉更容易检测到圆形息肉;然而,差异并不显着。经皮喉部超声检查可以识别声带息肉的形态和位置,无创且准确度高。所以,

更新日期:2020-08-11
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