超声造影对宫颈癌根治性放疗后疗效评估研究  

Contrast-enhanced ultrasonography rad ical radiotherapy for cervical cancer efficacy assessment study

作　　者：刘爱荣[1] 高力英[1] 管玲[1] 罗莉[1] 

机构地区：[1]甘肃省肿瘤医院放疗科,甘肃兰州730050

出　　处：《甘肃医药》2012年第11期819-821,共3页Gansu Medical Journal

摘　　要：目的:探讨超声造影对宫颈癌根治性放疗后临床疗效的评估。方法:自2008年6月至2011年8月设30例IIb期以上非手术的宫颈癌鳞癌患者给予根治性放射治疗前后行超声造影者为研究组,将30例同期宫颈癌根治性放疗前后行常规超声检查者设为对照组,研究组与对照组同时配合宫颈刮片脱落细胞检查,共同比较两组宫颈部肿瘤残留情况。结果:研究组出现肿瘤坏死、液化16(53%)、瘤体灭活者7(23%),而宫颈局部显示造影剂异常快进快出表明肿瘤有残留者7(23%)。同组宫颈刮片脱落细胞检查见到癌细胞为2(6%),放疗后两种检查方法检出肿瘤残存比较有统计学差异(P<0.05)。结论:超声造影可动态观察残留肿瘤内部及肿瘤周边血管数目及其分布,为追加局部腔内放疗的剂量、部位以及评价预后提供客观的理论依据。Objective：To explore the contrast-enhanced ultrasound evaluation of the clinical efficacy after radical radiotherapy of cervical cancer. Methods： More non-surgical phase IIb cervical cancer in 30 cases of squamous cell carcinoma patients given radical radiotherapy before and after ultrasound contrast set since June 2008 to August 2011 for the study group,the radical radiotherapy of 30 cases over the same period of cervical cancer before and after.The conventional ultrasound set control group,the study group and the control group in conjunction with cytology,cervical smears common residual tumor were compared cervix situation. Results：The results of the study group,tumor necrosis, liquefaction of 16（ 53%） ,tumor inactivated 7（ 23%） , cervical partial abnormal contrast agent Kuaijinkuaichu to show that the tumor residues in 7（ 23%） . The same group of cervical smear cytology to see cancer 2（ 6%） after radiotherapy two methods detected residual tumor more significant difference（ P〈0.05） .Conclusion： Ultrasound Contrast-enhanced dynamic observed within the residual tumor and tumor number of peripheral vascular and its distribution,additional local intracavitary radiotherapy dose,location,as well as evaluating the prognosis objective theoretical basis.

关 键 词：宫颈癌 超声造影 放疗 评估 

分 类 号：R735.704[医药卫生—肿瘤]