实时超声造影在肝癌射频治疗术中的应用价值  

Effect of Real Time Contrast Enhanced Ultrasound on Liver Cancer Radiofrequency Therapy

作　　者：肖庆[1] 

机构地区：[1]绵阳市第三人民医院超声科,四川绵阳621000

出　　处：《贵阳医学院学报》2015年第11期1249-1251,1255,共4页Journal of Guiyang Medical College

摘　　要：目的:探讨实时超声造影在肝癌射频治疗术中的应用价值。方法:选取接受射频治疗的原发性肝癌患者90例,按术前影像学检查方法均分为观察组和对照组,观察组采用实时超声造影检查,对照组采用常规超声检查,术前超声检查结果与手术结果进行比较,观察两组影像学检查对病灶直径大小检测的准确度、肝癌病灶主滋养动脉及不规则病灶的个数、术后远期生存率、并发症和复发率及疗效。结果:术前实时超声造影对病灶直径大小检测的准确度显著高于常规超声,观察组肝癌病灶主滋养动脉及不规则病灶的个数显著多于对照组(P<0.05);观察组手术后远期生存率显著高于对照组(P<0.05),在第10个月时趋于稳定;观察组患者并发症和复发率显著低于对照组(P<0.05),射频治疗疗效显著高于对照组(P<0.05)。结论:实时超声造影在肝癌射频治疗术中的作用优于常规超声检查。Objective： To explore the effect of real-time contrast enhanced ultrasound on liver cancer radiofrequency therapy. Methods： Ninety patients diagnosed as primary liver cancer and were divided into observation group and control group according to preoperative imaging examination methods. Adopting real-time contrast enhanced ultrasound to test observation group and conventional ultrasound test on control group. Comparing pre-operative ultrasound test result and surgery result,observing accuracy of lesion diameter tested by two different ultrasound tests,number of lesion,post-operative survival rate,complications,recurrence rate and efficacy. Results： Preoperative detection of real-time contrast enhanced ultrasound in average diameter size of the lesions showed higher accuracy than that of conventional ultrasound examination,the difference was statistically significant（ P〈0. 05）; observation group patients showed more number of main nutrient arteries of HCC lesions and the irregular lesions than the control group（ P〈0. 05）; complication and recurrence rate of patients in observation group were lower than control group（ P〈0. 05）; efficacy of radiofrequency therapy was higher than control group（ P〈0. 05）. Conclusion： Real-time contrast enhanced ultrasound in liver cancer radiofrequency therapy is better than conventional ultrasound test.

关 键 词：超声检查 实时超声造影 癌 肝细胞 射频治疗 治疗结果 

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