门静脉超声造影在经皮选择性肝门静脉栓塞化疗中的应用  

Value of ultrasono-portography using SonoVue in selective portal vein embolization

作　　者：陈丽羽[1] 蒋天安[1] 钱超文[2] 陈俊英[2] 杨琛[2] 时开元[2] 

机构地区：[1]浙江大学医学院附属第一医院超声科,浙江杭州310003 [2]浙江省肿瘤医院超声科,浙江杭州310022

出　　处：《南方医科大学学报》2010年第11期2469-2471,共3页Journal of Southern Medical University

基　　金：浙江省医药卫生科技研究基金(2005B014)

摘　　要：目的探讨门静脉超声造影在经皮选择性肝门静脉分支穿刺栓塞化疗(SPVE)中的应用价值。方法 28例计划行SPVE的肝恶性肿瘤患者,其中11例采用常规彩色多普勒超声指导SPVE(常规组),17例采用门静脉超声造影指导SPVE(造影组)。术后2～4周行CT检查,了解栓塞情况。结果 3例造影组的患者因为门静脉超声造影提示不适合做门静脉栓塞而放弃SPVE治疗,其余25例患者均顺利进行SPVE治疗。术后CT显示常规组2例出现异位栓塞,造影组14例均未见异位栓塞。结论门静脉超声造影对SPVE有很好的指导意义。Objective To explore the value of ultrasono-portography using SonoVue in selective portal vein embolization（SPVE）.Methods Twenty-eight patients with malignant liver tumors underwent percutaneous ultrasound-guided SPVE.The procedure was performed under color Doppler ultrasound guidance in 11 cases（conventional group） and under guidance with ultrasono-portography using SonoVue in 17 cases（contrast group）.Contrast-enhanced CT was performed 2-4 weeks after SPVE to evaluate the effect of embolization.Results The procedure of SPVE was aborted in 3 cases in which ultrasonoportography showed contraindications.Postoperative contrast-enhanced CT showed ectopic embolization in 2 cases in the conventional group,and none of the cases in the contrast group showed ectopic embolization.Conclusion Ultrasono-portography using SonoVue can provide important assistance for SPVE.

关 键 词：超声检查 介入性 门静脉造影术 肝肿瘤 栓塞 治疗性 

分 类 号：R735.7[医药卫生—肿瘤] R445.1[医药卫生—临床医学]