口内超声扫描术前测定舌癌浸润深度的可行性分析

ANALYZE THE FEASIBILITY OF INTRAORAL ULTRASONOGRAPHY IN PREOPERATIVE MEASUREMENT OF TUMOR INVASIVE DEPTH IN ORAL TONGUE CARCINOMA

目的评价口内超声扫描用于术前测量舌癌浸润深度的可行性。方法25例首次就诊的舌癌患者术前接受口内超声扫描并测量肿瘤浸润深度,术后进行常规病理检查并测量肿瘤浸润深度,分析两组数据的相关性。结果超声扫描可以获得高质量的声像图,Pearson相关性分析结果显示,超声扫描获得的肿瘤浸润深度与术后常规病理切片测量数据的相关性具有统计学意义(p<0.01)。结论术前口内超声扫描是一种简便、准确、无创的术前测定早期舌癌肿瘤浸润深度的方法,对于术前确定原发灶切除范围、选择正确的颈部治疗方案以及判断预后等均有重要的参考意义。

Objective To evaluate the accuracy of intraoral uhrasonography in preoperative measurement of tumor invasive depth of oral tongue carcinoma. Methods Twenty -five patients with oral tongue carcinoma had intraoral ullrasonography to document tumor invasive depth. The ultrasonic tumor thickness was correlated with the surgical specimen pathologic tumor thickness. Results High - quality ultrasonic images were obtained. There was a significant correlation （p 〈 0. 01 ） between measurements by uhrasonography and histological tests. Conclusion Preoperative intraoral uhrasonography is an accurate, noninvasive, and easily manipulated method to delineate tumor extent and measure tumor invasive depth of oral tongue carcinoma.