Narrow band imaging versus laryngovideostroboscopy in precancerous and malignant vocal fold lesions
Narrow band imaging versus laryngovideostroboscopy in precancerous and malignant vocal fold lesions
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DOI：
10.1002/hed.25047
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发表时间：
2018-05-01
影响因子：
2.9
通讯作者：
Niemczyk, Kazimierz
中科院分区：
文献类型：
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作者：
Rzepakowska, Anna;Sielska-Badurek, Ewelina;Niemczyk, Kazimierz
背景资料：这是一个比较分析的诊断准确性窄带成像（NBI）和喉视频频闪镜（LVS）在评估癌前病变和恶性vocal fold insulines.Methods：一个前瞻性分析进行了连续105例声带病变。结果：NBI和LVS在鉴别癌前病变和恶性病变方面无显著性差异。然而，在仅限于识别恶性病变的分析中，NBI的特异性（88.9% vs 20.6%）、准确性（90.5% vs 51.4%）和阳性预测值（PPV; 84.8% vs 45.1%）显著更高（P值分别<0.001; 0.015;和0.045）。LVS评分结果与每种NBI类型的比较显示了统计学显著差异（P < .001）。NBI和LVS之间中度正相关（P = .54）。结论：NBI和LVS是有用的，互补的工具，在评估早期潜在的声带恶性肿瘤。在几项统计分析中，NBI优于LVS上级。
Background: This is a comparative analysis of the diagnostic accuracy of narrow band imaging (NBI) and laryngovideostroboscopy (LVS) in the assessment of premalignant and malignant vocal fold lesions.Methods: A prospective analysis was performed on 105 consecutive patients with vocal fold lesions. The NBI and LVS were obtained before the microsurgery.Results: The NBI and LVS showed no significant differences in identifying premalignant and malignant pathologies. However, in analysis restricted to identification of only malignant lesions, the specificity (88.9% vs 20.6%), accuracy (90.5% vs 51.4%), and positive predictive value (PPV; 84.8% vs 45.1%) were significantly higher for NBI (P value < .001; .015; and .045, respectively). A comparison of LVS scored results relative to each NBI type revealed statistically significant differences (P < .001). A moderate positive correlation between NBI and LVS was demonstrated (P = .54).Conclusion: The NBI and LVS are useful, complementary tools in evaluating early potential vocal fold malignancies. The NBI was superior to LVS on several statistical analyses.