超声造影在特殊部位肝癌治疗中的价值  

A Study on Contrast-enhanced Ultrasound Value of the Treatment on Special Part Liver Cancer

作　　者：李红学[1] 刘军杰[1] 李航[1] 赵盛发[1] 李想[1] 周婷[1] 彭洋[1] 

机构地区：[1]广西医科大学附属肿瘤医院超声科,南宁市530021

出　　处：《中国超声医学杂志》2016年第1期37-39,共3页Chinese Journal of Ultrasound in Medicine

基　　金：广西科学研究与技术开发计划项目(No.桂科攻14124003-4);广西卫生厅科研资助课题(No.Z2015572);广西肝癌诊疗工程技术研究中心(No.2014GCZX20)

摘　　要：目的探讨超声造影在治疗特殊部位肝癌中的价值。方法回顾特殊部位肝癌瘤体158个,术前行超声造影明确肿瘤浸润范围,根据治疗方法分为联合治疗组和微波消融组,在术后1个月评价术后消融效果并观察有无重大并发症。结果超声造影显示的肿瘤范围大于常规超声显示的范围,联合治疗组完全消融率为91.0%,微波消融组完全消融率为73.9%,术后均无重大并发症出现。结论超声造影可清晰显示肿瘤浸润范围,对肿瘤的疗效评价有一定的帮助。Objective To explore the value of contrast-enhanced ultrasound in the treatment on special site hepatocellular carcinoma. Methods Retrospective analysis of in total 158 tumors near the diaphragm and the surrounding vital organs of special site hepatocellular carcinoma. According to the different therapies divided the tumors into two group,combined treatment group and the microwave coagulation therapy group. We used ultrasound imaging to definite scope of tumor invasion before treatment, a month later after the treatment we used contrast-enhanced ultrasound to. Evaluate ablation effect and whether these patients had significant complications. Results Pre-treatment contrastenhanced ultrasonography showed the extent of coverage larger than conventional ultrasound. Combined treatment group,complete ablation rate was 91.0%. Microwave coagulation therapy group, complete ablation rate was 73.9%. There were no significant complications after treatment. Conclusions Contrast-enhanced ultrasound can clearly show the tumor infiltrating range, correct preparation for ablation scheme and treatment strategies. To evaluate the curative effect of tumor, contrast-enhanced ultrasound can be useful.

关 键 词：超声造影 特殊部位肝癌 微波消融 125I粒子 

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