B超对原发性肝癌肝动脉栓塞疗效评估的价值  

The value of B-ultrasound in evaluating the therapeutic effect of hepatic artery embolization in primary liver cancer

作　　者：张昌红 陈方红 宋晶晶[2] ZHANG Changhong;CHEN Fanghong;SONG Jingjing(Department of Ultrasound, Lishui Central Hospital in Zhejiang Province, Lishui 323000, China;Department of Radiology, Lishui Central Hospital in Zhejiang Province, Lishui 323000, China)

机构地区：[1]浙江省丽水市中心医院超声科,浙江丽水323000 [2]浙江省丽水市中心医院放射科,浙江丽水323000

出　　处：《中国现代医生》2019年第23期95-98,共4页China Modern Doctor

基　　金：浙江省自然科学基金项目(LQ17H180001)

摘　　要：目的分析原发性肝癌肝动脉栓塞患者在治疗前后经B超检查肝动脉收缩期峰值、肝动脉内经、肿块大小的变化情况。方法选取2016年1月~2018年5月原发性肝癌肝动脉栓塞患者100例为研究对象,治疗前后均实施B超检查,对其检查结果进行分析。结果实施B超检查可对原发性肝癌患者肿瘤实质性光团或暗区观察,患者存在肝内胆管形态以及肝脏形态改变的情况,其肝癌特征性图像显示为镶嵌征,即为结中结,其晕环征肝癌边缘表现为晕圈,其肿瘤周围或内部存在血流频谱(搏动型)。原发性肝癌肝动脉栓塞患者经B超检查,其治疗后的肝动脉收缩期峰值、肝动脉内径、肿块大小均较治疗前明显降低,差异有统计学意义(P<0.05);原发性肝癌患者经动脉栓塞治疗的总有效率为100.00%。结论原发性肝癌肝动脉栓塞患者接受B超检查,其治疗后的肝动脉收缩期峰值、肝动脉内径、肿块大小等均较治疗前明显降低。Objective To analyze the changes of hepatic artery systolic peak, hepatic artery inner diameter and mass size in patients with hepatic artery embolism of primary liver cancer by B-ultrasound before and after treatment. Methods The 100 patients with hepatic artery embolization of primary liver cancer were selected as the study subjects. The time was selected from January 2016 to May 2018. All patients underwent B ultrasound examination before and after treatment. The results of the examination were analyzed. Results B-ultrasound examination could be used to observe the tumor mass or dark area of patients with primary liver cancer. The patients had intrahepatic bile duct morphology and liver morphological changes. The characteristic image of liver cancer was shown as mosaic sign, which were knots in knots. The appearance of halo sign on the edge of liver cancer was halo, and there was a blood flow spectrum(pulsation type) around or inside the tumor. The patients with hepatic artery embolization of primary liver cancer were examined by B-ultrasound. The peak of hepatic artery systole, hepatic artery inner diameter and mass size after treatment were significantly lower than those before treatment. The difference was statistically significant(P<0.05). The total effective rate of transcatheter arterial embolization in primary liver cancer patients was 100.00%. Conclusion Patients with hepatic artery embolization of primary liver cancer undergo B-ultrasound examination. The peak of hepatic artery systole, hepatic artery inner diameter and mass size after treatment are significantly lower than those before treatment.

关 键 词：B超 原发性肝癌 肝动脉栓塞 肝动脉收缩期峰值 肝动脉内径 

分 类 号：R445.1[医药卫生—影像医学与核医学] R735.7[医药卫生—诊断学]