动态三维超声造影评价肝癌血流分布的应用研究  

Application of Dynamic 3D Contrast-enhanced Ultrasonography in the Evaluation of Vascularity of Hepatocellular Carcinoma

作　　者：王彦冬[1] 经翔[1] 丁建民[1] 赵新民[1] 张倩华[1] 

机构地区：[1]天津市第三中心医院超声科天津市人工细胞重点实验室,天津市300170

出　　处：《中国超声医学杂志》2013年第10期910-913,共4页Chinese Journal of Ultrasound in Medicine

基　　金：天津市卫生局科技基金重点项目(No.2010KR01)

摘　　要：目的探讨动态三维超声造影(3D-CEUS)在评价HCC动脉血流分布中的作用。方法回顾性分析52例HCC患者的动态3D-CEUS检查结果,并与二维超声造影(2D-CEUS)结果进行比较,评估2种方法在肿瘤滋养动脉检出率,滋养动脉显示质量水平方面的差别。结果全组52例HCC,2D-CEUS对肿瘤滋养动脉的检出率为67.3%(35/52),而动态3D-CEUS对滋养动脉的检出率为100%(52/52),高于2D-CEUS(P<0.05)。3D-CEUS显示肿瘤滋养动脉起源清楚,走行连续性好,与周围血管及肿瘤空间关系明确直观,3D-CEUS对滋养动脉显示质量水平优于2D-CEUS(P<0.05)。结论动态3D-CEUS可有效地评价HCC动脉血流分布,为HCC的诊断和治疗提供更丰富的信息。Objective To evaluate the value of dynamic 3D contrast enhanced ultrasonography （3D-CEUS） in the HCC artery blood flow distribution. Methods The 3D-CEUS examination results of 52 cases of HCC patients were analyzed retrospectively and compared with 2D-CEUS results to evaluate two methods difference in the detection rate of nutrient artery of tumor and the display quality of nutrient artery. Results In all 52 cases, the detection rate of nu trient artery of tumor was 67.3% （35/52） by 2D-CEUS and 100% （52/52） by 3D-CEUS, the detection rate of 3DCEUS was higher than that of 2D-CEUS （P〈0.05）. 3D-CEUS could display the nutrient artery of tumor origin clear ly, good running continuity and intuitive spatial relation of peripheral vascular and tumor. The display quality of nutrient artery of 3D-CEUS was better than that of 2D-CEUS （P〈0.05）. Conclusions The dynamic 3D-CEUS can effi ciently evaluate the HCC artery blood flow distribution, and provide abundant information for the diagnosis and treatment of HCC.

关 键 词：肝细胞癌 三维 超声检查 造影剂 

分 类 号：R735.7[医药卫生—肿瘤]