超声造影在评价经皮肝动脉插管栓塞化疗术后的作用  

Evaluate of transcatheter arterial chemoembolization with contrast-enhanced ultrasound

作　　者：陈苏平[1] 钱晓芹[2] 

机构地区：[1]扬州大学医学院临床医院肿瘤科,扬州市225000 [2]扬州大学医学院临床医院超声科,扬州市225000

出　　处：《临床超声医学杂志》2009年第9期610-612,共3页Journal of Clinical Ultrasound in Medicine

摘　　要：目的评价超声造影在经皮肝动脉插管栓塞化疗术(TACE)后的作用。方法实时超声造影检查选择TACE术后的原发性肝癌患者21例,共30个肿瘤病灶。结果TACE术后超声造影检查对肿瘤内残存血供的检出率优于能量多勒血流显像;超声造影表现:栓塞完全的病灶在造影的各个时相均表现为"缺损区",检测到血流的16个病灶有3种形态学表现;通过造影后的表现还可明确提示肿块栓塞后无血供的范围,TACE术后有无门脉内癌栓形成以及肝内有无微小新病灶形成。结论超声造影可作为TACE治疗后常规检查手段以评价其疗效。Objective To evaluate the function and limitation of transcatheter arterial chemoembolization（TACE） with contrast-enhanced ultrasound（CEUS）. Methods CEUS was applied on 21 patients with 30 lesions after TACE of primary hepatic carcinoma. Results After TACE, the residual intratumoral flow detection rate of CEUS was higher than power Doppler imaging. The features of CEUS included： defection area was observed in the complete treatment lesions during all the phase . Three morphologic appearances wee found in 16 lesions with residual intratumoral flow . The actual scope of the defect area and the appearance of portal vein embolization or new small lesion in the liver could also be identified with CEUS. Conclusion CEUS can be used as a regular method for evaluation of the therapeutic effect of TACE.

关 键 词：超声检查 造影剂 肝肿瘤 原发性 经皮肝动脉插管栓塞化疗术 

分 类 号：R445.1[医药卫生—影像医学与核医学] R575.4[医药卫生—诊断学]