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时间:2020-05-04
《PET/CT对TACE联合RFA治疗原发性肝癌的疗效评价-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在应用文档-天天文库。
1、·34·医刊2013年11月第40卷第22期ChineseJournalofPracticalMedicineNov.2013.Vol_40.No.22PET/CT对TACE联合RFA治疗原发性肝癌的疗效评价蔡越飞钟胜冼重杨谭小明贾志斌高中山【摘要】目的探讨PET/CT在经动脉导管栓塞化疗(TACE)联合射频消融(RFA)治疗原发性肝癌后的应用价值。方法本组21例原发性肝癌患者共有31个病变,肿瘤最大径为1.0—12.5cm。其中15例为初治病例,6例为肝癌手术后复发。经过TACE联合RFA治疗后3周,对比CT和PET/CT检查的结果。如发现有肿瘤残留,在1周内
2、对其再次行RFA治疗。结果21例患者经一次TACE联合一次RFA治疗3周,经病变区域活检及数字减影血管造影等检查发现19例有部分肿瘤残留,肿瘤残留最大径为0.5~3.5cm。cT增强扫描检查检出10例,检出率为52.6%;PET/CT检出有17例残留,检出率为89.5%。根据PET/CT检查结果,在1周内再次行RFA治疗,PET/CT检查发现16例患者肿瘤无残留,1例患者3周后复查PET/CT发现肝内病变未完全控制,行第3次RFA。结论原发性肝癌经TACE联合RFA治疗后,PET/CT对判断肿瘤残留以及指导进一步RFA治疗较CT检查具有更大的优势。【关键词】原发
3、性肝癌;射频消融;经动脉导管栓塞化疗;PET/CTEficacyevaluationoftranscatheterarterialchemo-embolizationcombinedwithradiofrequencyablationonpatientswithhepatocellularcarcinomabyPET/CTCAIYue,ZHONGSheng,XIANChong—yang,TANXiao—ming,JlAzhi—bin,GAOZhong—shan.DepartmentofInterventionalRadiol—ogy,DonghuaHospita
4、lofDongguan,Dongguan523110,China【Abstract】ObjectiveToinvestigatethevalueofPEI1/cTinjudgingtumorresidueofhepato—cellularcarcinoma(HCC)aftertreatedbytranscatheterarterialchemo—embolization(TACE)combinedwithradiofrequencyablation(RFA).MethodsTwentyoneHCCpatientswith31lesions,1.0—12.5cmi
5、ndiameter.weretreatedinourhospitalfromDecember2009toDeeember2011.0fthe21patients.15caseswerenaivepatientswith21lesions,6patientswererelapsedafterhepatectomy.TheresultsofCTandPET/CTofthe21patients3weeksaftertreatmentofTACEcombinedwithRFAwerecompared.Iftumorresiduewasdictated,afurtherR
6、FAtreatmentwouldbeappliedwithinoneweek.ResultsOfthe21HCCpatientsthatreceivedonecourseofTACEcombinedwithRFA,19caseshadtumorresidueswhichwereconformedbyfineneedlebiopsyanddigitalsubstractionangiography(DSA).CTonlydetec—ted10positivecases;however,PET/CTdetected17positivecases.Positivera
7、teofCTwas52.6%,andthatofPET/CTwas89.5%.AccordingtotheresultsofPET/CTofthe17patients.afterthesecondcourseofRFA.16patientshadriotumorresidue。lcasesurvivedwithuncontrolledlesions3weeksaftertreatment.ConclusionsPET/CTisbetterthanCTiniudgingtumorresidueofHCCaftertreatmentofTACEcombinedwit
8、hRFA.andingu
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