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咽喉疾病喉镜图鉴
$51.64
该图谱有以下特色:①病种全,近70种疾病,几乎覆盖咽喉科所有病种。②“以图鉴病”,以简练的文字描述,指出该病喉镜诊断的鉴别点,对于肿瘤性疾病针对性配以NBI内镜图,嗓音功能性疾病针对性配以频闪喉镜视频。③图片高清,大多数图片来自相比电子喉镜成像效果更高硬性喉内镜。④动静结合,可扫描书中二维码获取对应疾病的动态喉镜视频(25例)。⑤精致便携的口袋书形式,附赠电子书。
本书主体分为两部分:第一部分是喉镜检查概述,系统介绍了喉镜分类、临床应用价值、标准检查方法及设备消毒与养护等;第二部分为全书主体和重点,以图说的形式全面介绍了近70种咽喉科疾病的喉镜下表现,手册中涵盖的病种全面,涵盖了咽喉科的全部疾病。同时在硬性喉镜图片基础上,对于肿瘤性疾病针对性配以NBI内镜图,嗓音功能性疾病针对性配以频闪喉镜视频。本书力求以形式达到喉镜检查“一册在手,诊断无忧”的目的,为广大耳鼻喉科住院医师、低年资医师、规培生及研究生提供一便携、简洁明了的咽喉疾病的喉镜诊断“口袋书”。
陶磊教授,主任医师,博士研究生导师,复旦大学附属眼耳鼻喉科医院耳鼻喉科副主任,耳鼻喉科住院医师、专科医师规范化培训基地教学主任、头颈外科主任。
1喉镜检查概述/1
1 间接喉镜/2
1 直接喉镜/2
1 硬质咽喉内镜/4
1 动态喉镜/5
2 纤维喉镜/6
2 电子喉镜/8
2 咽部疾病/11
2 先天性疾病与畸形/12
2.1.1悬雍垂分叉畸形/12
2.1.2腭裂/12
2.1.3先天性舌根囊肿/13
2.1.4舌根异位甲状腺/14
2.1.5梨状窝瘘/15
2.1.6甲状舌管囊肿(舌型)/18
2.1.7颈内动脉畸形/18
2 咽部普通炎性疾病/19
2.2.1急性咽炎/19
2.2.2慢性咽炎/20
2.2.3急性扁桃体炎/21
2.2.4慢性扁桃体炎/22
2.2.5舌扁桃体肥大/24
2.2.6悬雍垂过长/25
2.2.7扁桃体周脓肿/25
2.2.8复发性阿弗他溃疡/27
2.2.9咽角化症/28
2.2.10扁桃体结石/28
2 其他非肿瘤性疾病/29
2.3.1咽部囊肿/29
2.3.2单侧扁桃体肥大/30
2.3.3悬雍垂腭咽成形术后/31
2 咽部异物/31
3 口咽及下咽良性肿瘤/34
2.5.1乳头状瘤/34
2.5.2血管畸形/36
2.5.3纤维瘤/37
3 咽旁间隙肿瘤/39
3 口咽及下咽恶性肿瘤/40
2.7.1扁桃体恶性肿瘤/40
2.7.2舌根部恶性肿瘤/43
2.7.3下咽恶性肿瘤/44
3 喉部疾病/55
3 先天性疾病与畸形/56
3.1.1先天性喉蹼/56
3.1.2会厌畸形/57
3.1.3先天性喉气囊/58
3 喉部普通炎性疾病/59
3.2.1急性会厌炎/59
3.2.2急性喉炎/61
3.2.3慢性喉炎/63
3.2.4声带小结/65
3.2.5声带息肉/66
3.2.6声带任克水肿/68
3 其他非肿瘤性疾病/69
3.3.1会厌囊肿/69
3.3.2声带囊肿/71
3.3.3室带囊肿/72
3.3.4其他部位喉囊肿/72
3.3.5声门下囊肿/73
3.3.6咽喉反流性疾病/74
3.3.7声带沟/76
3.3.8喉淀粉样变/78
3.3.9声带黏膜下出血/79
3 嗓音及声带运动障碍性疾病/80
3.4.1痉挛性发声障碍/80
3.4.2声带麻痹/82
3.4.3音调反常/85
4 癌前病变/87
3.5.1声带白斑/87
3.5.2成人喉乳头状瘤/89
3.5.3喉角化症/91
4 喉部良性肿瘤/92
3.6.1血管畸形/92
3.6.2儿童复发性喉乳头状瘤/93
3.6.3神经鞘瘤/94
4 喉部恶性肿瘤/95
3.7.1喉癌/95
3.7.2其他病理类型/104
4 外伤性疾病/109
3.8.1闭合性喉外伤/109
3.8.2喉插管损伤/110
3.8.3喉烧灼伤/111
4 其他/113
3.9.1瘢痕性喉狭窄/113
3.9.2声带瘢痕/114
3.9.3气管肿瘤/115
4 特殊感染和真菌感染在咽喉部的表现/117
4 梅毒/118
4 结核/119
4 真菌感染/120
4 获得性免疫缺陷综合征/122
5 硬结病/123
5 白喉/125
5 咽喉部麻风/126
5 新型冠状病毒感染/127
5 全身性疾病在咽喉部的表现/131
5 带状疱疹/132
5 白塞综合征/133
5 系统性红斑狼疮/134
5 喉部IgG4相关性疾病/135
6 Rosai-Dorfman病/136
6 Castleman病/137
参考文献/139
附录/143
A1复旦大学附属眼耳鼻咽喉科医院喉镜报告模板/144
A2口咽癌的TNM分期及治疗原则/145
A2.1口咽癌的TNM分期/145
A2.1.1口咽癌(p16-)的TNM分期/145
A2.1.2口咽癌(p16 )的TNM分期/146
A2.2口咽癌治疗原则/147
A3下咽癌的TNM分期及治疗原则/148
A3.1下咽癌的TNM分期/148
A3.2下咽癌治疗原则/150
A4喉阻塞引起的吸气期呼吸困难分度/151
A5气管切开适应证/151
A6复旦大学附属眼耳鼻咽喉科医院声学测试
报告模板/152
A7喉癌的TNM分期及治疗原则/153
A7.1喉癌的TNM分期/153
A7.2喉癌治疗原则/156
后记/159
咽喉部解剖位置深在、隐蔽,检查时常需借助一些特殊检查设备。从最初的间接喉镜到直接喉镜,从硬性喉镜到软性喉镜,从纤维喉镜到电子喉镜,不同喉镜设备在咽喉部疾病诊治中各有其临床应用价值。一份高质量的喉镜报告,对展示病变特征、明确诊断及指导手术方案(入路、范围)有着不可替代的作用。基于此,我们编写了这本《咽喉疾病喉镜图鉴》。本书参考了人民卫生出版社出版的八年制临床医学规划教材《耳鼻咽喉头颈外科学》(第3 版)及《实用耳鼻咽喉头颈外科学》(第2 版),共分为五部分:第一部分为喉镜检查概述;第二部分至第五部分为疾病简介及相应的喉镜下表现。其中第二部分为咽部疾病,第三部分为喉部疾病,这两部分按照先天性疾病、炎性疾病、其他非肿瘤性疾病、良性肿瘤、恶性肿瘤的编排顺序,除了上述疾病还包括了咽部异物、嗓音疾病、喉癌前病变、喉外伤、气管肿瘤等疾病。第四部分为特殊感染和真菌感染在咽喉部的表现,包括梅毒、结核、真菌感染、获得性免疫缺陷综合征、硬结病、白喉、咽喉部麻风等疾病。第五部分为全身性疾病在咽喉部的表现,Preface IX包括带状疱疹、白塞综合征、系统性红斑狼疮、喉部IgG4 相关性疾病、Rosai - Dorfman 病、Castleman病等疾病。本书疾病覆盖面广,共配以450 幅高质量的典型喉镜图片及25 例视频。作为一名致力于头颈外科疾病临床诊治的耳鼻咽喉科医师,本书着重喉癌、下咽癌等疾病的治疗与随访。复旦大学附属眼耳鼻喉科医院是我国唯一集医教研一体的三甲眼耳鼻咽喉专科医院,医院耳鼻咽喉科是全国最大的耳鼻咽喉头颈外科临床诊疗中心之一。结合本单位临床病例资料和诊疗经验,本书在编写过程中还参考了大量文献,尽量做到内容殷实完整、叙述简洁实用、图片清晰准确。本书难免存在缺陷和不妥之处,敬请广大读者及同道们批评和斧正,也欢迎广大同道投稿高质量喉镜图像、视频以供大家学习,不胜感激!本书受众对象较广,不仅可供住培、专培医师使用,还可供本专业年轻医师、基层临床医务人员学习。诚挚地希望本书的出版能够为耳鼻咽喉头颈外科专业的人才培养尽一份力并起到抛砖引玉的作用,同时也希望不同阶段的临床工作者在翻阅本书时能常学常新、常学常悟、常学常用,从而造福更广大的患者。陶磊2023 年4 月
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