喉癌内镜诊断技术研究进展

doi:10.6040/j.issn.1673-3770.1.2019.025

摘要/Abstract

摘要：

喉癌是呼吸系统最常见的恶性肿瘤之一，早期诊断喉癌可避免大范围的手术，有助于保留喉的生理功能，显著改善患者预后。对近年来国内外各种先进的内镜检查技术在喉癌早期诊断中的应用做了回顾，分析了每项技术的优缺点。随着这些新内镜技术的推广和优化，喉癌的早期诊断水平将有望逐步提高。

关键词: 喉肿瘤, 内窥镜检查, 诊断

Abstract:

Laryngeal cancer is one of the most common malignancies of the respiratory system. Early diagnosis of this disease can help to avoid a wide range of surgical procedures, preserve the physiological function of the larynx, and significantly improve the prognosis. This article reviews the various advanced endoscopy techniques used for the early diagnosis of laryngeal cancer in recent years and analyzes the advantages and disadvantages of each technique. With these new endoscopic techniques being widely promoted and optimized, the practice of early diagnosis of laryngeal cancer is expected to increase gradually in the future.

Key words: Laryngeal neoplasms, Endoscopy, Diagnosis

中图分类号:

R739.65

冯剑,周涵,董伟达. 喉癌内镜诊断技术研究进展[J]. 山东大学耳鼻喉眼学报, 2019, 33(3): 129-133.

Jian FENG,Han ZHOU,Weida DONG. Advances in endoscopic diagnosis of laryngeal cancer[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2019, 33(3): 129-133.

参考文献 25

1	SteuerCE, El-DeiryM, ParksJR, et al. An update on larynx cancer[J]. CA Cancer J Clin, 2017, 67(1): 31-50. doi:10.3322/caac.21386. doi: 10.3322/caac.21386
2	NiXG, HeS, XuZG, et al. Endoscopic diagnosis of laryngeal cancer and precancerous lesions by narrow band imaging[J]. J Laryngol Otol, 2011, 125(3): 288-296. doi:10.1017/S0022215110002033. doi: 10.1017/S0022215110002033
3	MehlumCS, RosenbergT, DyrvigAK, et al. Can the Ni classification of vessels predict neoplasia? A systematic review and meta-analysis[J]. Laryngoscope, 2018, 128(1): 168-176. doi:10.1002/lary.26721. doi: 10.1002/lary.26721
4	TateyaI, MoritaS, MutoM, et al. Magnifying endoscope with NBI to predict the depth of invasion in laryngo-pharyngeal cancer[J]. Laryngoscope, 2015, 125(5): 1124-1129. doi:10.1002/lary.25035. doi: 10.1002/lary.25035
5	WuJH, LuoXY. Application of narrow band imaging in the detection of premalignant and malignant lesions of the larynx[J]. Zhonghua Er Bi Yan Hou Tou Jing Wai Ke Za Zhi, 2017, 52(12): 900-904.doi:10.3760/cma.j.issn.1673-0860.2017.12.005. doi: 10.3760/cma.j.issn.1673-0860.2017.12.005
6	StaníkováL, ŠatankováJ, KučováH, et al. The role of narrow-band imaging (NBI) endoscopy in optical biopsy of vocal cord leukoplakia[J]. Eur Arch Otorhinolaryngol, 2017, 274(1): 355-359. doi:10.1007/s00405-016-4244-6. doi: 10.1007/s00405-016-4244-6
7	TirelliG, PiovesanaM, GattoA, et al. NBI utility in the pre-operative and intra-operative assessment of oral cavity and oropharyngeal carcinoma[J]. Am J Otolaryngol, 2017, 38(1): 65-71. doi:10.1016/j.amjoto.2016.09.020. doi: 10.1016/j.amjoto.2016.09.020
8	KlimzaH, JackowskaJ, PiazzaC, et al. The role of intraoperative narrow-band imaging in transoral laser microsurgery for early and moderately advanced glottic cancer[J]. Braz J Otorhinolaryngol, 2019, 85(2): 228-236. doi:10.1016/j.bjorl.2018.01.004. doi: 10.1016/j.bjorl.2018.01.004
9	DobreM, PoenaruM, BalicaNC, et al. Detection of early laryngeal cancer and its precursor lesions by a real-time autofluorescence imaging system[J]. Rom J Morphol Embryol, 2014, 55(4): 1377-1381.PMID: 25611269
10	FostiropoulosK, ArensC, BetzC, et al. Noninvasive imaging using autofluorescence endoscopy: value for the early detection of laryngeal cancer[J]. HNO, 2016, 64(1): 13-18. doi:10.1007/s00106-015-0095-5. doi: 10.1007/s00106-015-0095-5
11	KraftM, BetzCS, LeunigA, et al. Value of fluorescence endoscopy for the early diagnosis of laryngeal cancer and its precursor lesions[J]. Head Neck, 2011, 33(7): 941-948. doi:10.1002/hed.21565. doi: 10.1002/hed.21565
12	KraftM, ArensC, BetzC, et al. Fluorescence imaging in laryngology: physical principles, clinical applications and study results[J]. HNO, 2016, 64(1): 4-12. doi:10.1007/s00106-015-0098-2. doi: 10.1007/s00106-015-0098-2
13	LuGL, FeiBW. Medical hyperspectral imaging: a review[J]. J Biomed Opt, 2014, 19(1): 10901. doi:10.1117/1.JBO.19.1.010901. doi: 10.1117/1.JBO.19.1.010901
14	RegelingB, ThiesB, Gerstner AO, et al. Hyperspectral imaging using flexible endoscopy for laryngeal cancer detection[J]. Sensors (Basel), 2016, 16(8): E1288. doi:10.3390/s16081288. doi: 10.3390/s16081288
15	GowenAA, FengYZ, GastonE, et al. Recent applications of hyperspectral imaging in microbiology[J]. Talanta, 2015, 137: 43-54. doi:10.1016/j.talanta.2015.01.012. doi: 10.1016/j.talanta.2015.01.012
16	PuxedduR, SionisS, GerosaC, et al. Enhanced contact endoscopy for the detection of neoangiogenesis in tumors of the larynx and hypopharynx[J]. Laryngoscope, 2015, 125(7): 1600-1606. doi:10.1002/lary.25124. doi: 10.1002/lary.25124
17	CartaF, SionisS, CoccoD, et al. Enhanced contact endoscopy for the assessment of the neoangiogenetic changes in precancerous and cancerous lesions of the oral cavity and oropharynx[J]. Eur Arch Otorhinolaryngol, 2016, 273(7): 1895-1903. doi:10.1007/s00405-015-3698-2. doi: 10.1007/s00405-015-3698-2
18	GregoryE, Fort GasiaM, GuiXY, et al. High-definition-iSCAN virtual chromoendoscopy has high sensitivity and specificity for the diagnosis of eosinophilic esophagitis[J]. Endosc Int Open, 2017, 5(7): E613-E621. doi:10. 1055/s-0043-111591. doi: 10. 1055/s-0043-111591
19	HoffmanA, BastingN, GoetzM, et al. High-definition endoscopy with i-Scan and Lugol's solution for more precise detection of mucosal breaks in patients with reflux symptoms[J]. Endoscopy, 2009, 41(2): 107-112. doi:10. 1055/s-0028-1119469. doi: 10. 1055/s-0028-1119469
20	LukesP, ZabrodskyM, LukesovaE,et al. The role of NBI HDTV magnifying endoscopy in the prehistologic diagnosis of laryngeal papillomatosis and spinocellular cancer[J]. Biomed Res Int, 2014, 2014: 285486.doi:10.1155/2014/285486 doi: 10.1155/2014/285486
21	TibbettsKM, TanML. Role of advanced laryngeal imaging in glottic cancer: early detection and evaluation of glottic neoplasms[J]. Otolaryngol Clin North Am, 2015, 48(4): 565-584. doi:10.1016/j.otc.2015.04.004. doi: 10.1016/j.otc.2015.04.004
22	MaturoS, BenboujjaF, BoudouxC, et al. Quantitative distinction of unique vocal fold subepithelial architectures using optical coherence tomography[J]. Ann Otol Rhinol Laryngol, 2012, 121(11): 754-760. doi:10.1177/000348941212101109. doi: 10.1177/000348941212101109
23	GoraMJ, SuterMJ, TearneyGJ, et al. Endoscopic optical coherence tomography: technologies and clinical applications [Invited][J]. Biomed Opt Express, 2017, 8(5): 2405-2444. doi:10.1364/BOE.8.002405. doi: 10.1364/BOE.8.002405
24	JabbourJM, SalduaMA, BixlerJN, et al. Confocal endomicroscopy: instrumentation and medical applications[J]. Ann Biomed Eng, 2012, 40(2): 378-397. doi:10.1007/s10439-011-0426-y. doi: 10.1007/s10439-011-0426-y
25	PogorzelskiB, HanenkampU, GoetzM, et al. Systematic intraoperative application of confocal endomicroscopy for early detection and resection of squamous cell carcinoma of the head and neck: a preliminary report[J]. Arch Otolaryngol Head Neck Surg, 2012, 138(4): 404-411. doi:10.1001/archoto.2012.213. doi: 10.1001/archoto.2012.213

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