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时间:2020-05-04
《实时超声造影与增强CT在肝恶性肿瘤行肝动脉插管化疗栓塞治疗后的临床价值-论文.pdf》由会员上传分享,免费在线阅读,更多相关内容在行业资料-天天文库。
1、·医学影像·2013年12月第51卷第34期实时超声造影与增强CT在肝恶性肿瘤行肝动脉插管化疗栓塞治疗后的临床价值宋遐湘西土家族苗族自治州肿瘤医院超声科。湖南吉首416000【摘要】目的研究实时超声造影与增强CT在肝肿瘤行肝动脉插管化疗栓塞治疗后的临床应用价值。方法回顾性分析在我院治疗的肝肿瘤患者55例,其中原发性肝癌42例,肝转移性肿瘤13例.所有患者在介入肝动脉插管化疗栓塞治疗后进行超声造影与增强CT扫描的检查。结果超声造影与增强CT的动脉期快速树枝状增强相似,其他方面均基本一致,实时超声造影与增强CT不同时相的增强状况差异比较无显著性(P>0.05)
2、。结论超声造影与增强CT在分析肿瘤复发和残留方面的灵敏性、准确性比较差异无显著性,均可准确地检测病灶的情况。[关键词】实时超声造影;增强cT;肝肿瘤;肝动脉插管化疗栓塞术[中图分类号】R735.7[文献标识码】B【文章编号】1673—9701(2013)34—0088—02Clinicalvalueofcontrast-enhancedultras0n0graphyandenhancedCTafterhepaticarterycatheterizationchemotherapyandembolizationthera-PYformalignanttumo
3、rofliverSONGXiaDepartmentofUltrasonography,CancerHospitalofXiangxiTujiaandMiaoAutonomousPrefectureinHunanProvince,Jishou416000,China[Abstract】0bjectiveTostudyclinicalvalueofcontrast-enhanceduhrasonographyandenhancedCTafterhepaticarterycatheterizationchemotherapyandembolizationther
4、apyfortumorofliver.MethodsAtotalof55patientswithtumorofliver,including42patientswithprimarycarcinomaofliverand13patientswithmetastatictumoroftheliverinourhospitalwereanalyzedretrospectively.Allpatientsdidcontrast-enhanceduhrasonographyandenhancedCTaf-terhepatica~erycatheterization
5、chemotherapyandembolizationtherapy.ResultsRapiddendriticenhancementsinarterialphasewassimilar,theotherwiseweresamebasicallybetweencontrast-enhancedultrasonographyanden—hancedCT.Therewerenosignificantdiferenceofenhancedstatusindifferentphasebetweencontrast-enhancedul—trasonographya
6、ndenhancedCTfP>0.05).ConclusionThediferenceofsensitivityandaccuracyinanalyzingrecurrenceandresidueoftumorbetweencontrast-enhanceduhrasonographyandenhancedCTarenotsignificant.Thecontrast-enhancedultrasonographyandenhancedCTmaybothdetectlesionsexactly.【Keywords】Contrast-enhancedultr
7、asonography;EnhancedCT;Tumorofliver;Hepaticarterycatheterizationchemotherapyandembolization据报道,大多数的肝癌患者要接受肝动脉插管化疗栓者55例,其中男35例,女20例,年龄25~82岁,平均塞疗法,因其创伤和痛苦少、操作简单等特点而在临床上(57.8-t-9~.13)岁。所有患者均已证实为肝肿瘤,其中原发性肝癌广泛应用。现今判定其治疗效果一般依靠实时超声造影、42例,肝转移性肿瘤l3例,有些患者有多个病灶,选择二增强CT。近年来采取超声造影剂对器官肿瘤血管性病变维
8、灰阶声像图显示最清楚病灶为评估对象,所有受检病灶造影的基础及临床研
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