螺旋CT在肺及肝脏肿瘤射频消融治疗术中及术后疗效观察中的应用  

Application of spiral CT in therapy observation during and after radiofrequency ablation for lung and liver tumors

作　　者：李建生[1] 汤日杰[1] 凌国辉[1] 卢斌贵[1] 杨佩瑜[1] 

机构地区：[1]广州医学院附属肿瘤医院放射科,广东广州510095

出　　处：《中国介入影像与治疗学》2009年第4期338-340,共3页Chinese Journal of Interventional Imaging and Therapy

摘　　要：目的探讨螺旋CT在肺及肝脏肿瘤射频消融术中及术后疗效观察中的应用价值。方法在螺旋CT导引下对35例肺及肝肿瘤患者38个肿瘤病灶进行射频消融治疗,术中观察射频后瘤体CT值及邻近组织情况,术后CT复查观察肿瘤变化。结果通过螺旋CT引导对38个瘤体准确定位;直观观察电极在肿瘤中的位置及爪状细电极针在肿瘤内展开情况。肺及肝脏肿瘤射频治疗后瘤体内CT值减低,部分瘤灶内可见气化灶。术后1个月复查CT,瘤体缩小,增强扫描无强化,呈略低密度肿块影。术后3个月复查CT,治疗总有效率85.71%(30/35)。结论螺旋CT能够准确引导肺及肝肿瘤射频消融治疗,准确评估疗效。Objective To investigate the value of spiral CT in therapy observation during and after radiofrequency ablation （RFA） for lung or liver tumors. Methods Spiral CT-guided RFA were performed in 35 patients （38 lesions） with lung or liver tumors. CT value of lesions during operation and the changes of lesions after operation were observed. Results Thirty-eight lesions were accurately located under spiral CT. The position of the electrode and the expension of claw-like thin needle electrode could be observed directly. CT value of lesions decreased and some gasification loci in some lesions were observed after RAF therapy. One month after RFA, tumor volume decreased, and the tumors present as slightly low-density mass on contrast-enhanced CT. The total effective rate of RFA was 85.71% （30/35）. Conclusion Spiral CT is able to accurately guide RFA treatment for lung or liver tumors and evaluate the efficacy of therapy.

关 键 词：体层摄影术 X线计算机 肺肿瘤 肝肿瘤 导管消融 

分 类 号：R734.2[医药卫生—肿瘤] R735.7[医药卫生—临床医学]