超声引导下肝癌热消融治疗的现状与进展  

Current status and advances in ultrasound-guided thermal ablation for hepatocellular carcinoma

作　　者：李鑫[1] 梁萍[1] LI Xin;LIANG Ping(Department of Interventional Ultrasound, The First Medical Center of Chinese PLA General Hospital, Beijing 100853, China)

机构地区：[1]解放军总医院第一医学中心介入超声科,北京100853

出　　处：《临床肝胆病杂志》2021年第3期510-514,共5页Journal of Clinical Hepatology

基　　金：国家自然青年科学基金(81801723)。

摘　　要：肝癌是临床上常见的恶性肿瘤,影像引导下热消融治疗为早期肝癌根治性治疗手段,为中晚期肝癌的姑息减瘤及联合系统治疗的主要手段之一。超声技术以其显像实时、引导准确、操作简便、移动便捷、费用低廉、无辐射损伤及高效节能等优势在肝癌热消融治疗术前规划、术中引导、术后评估及长期随访中发挥重要作用,尤其随着超声与影像融合技术的进步以及与光声成像为代表的功能影像技术的发展,使超声引导下热消融走在肝癌精准治疗的最前沿,并保持持久发展,向更微创、精准、安全、有效的诊疗模式发展。Hepatocellular carcinoma(HCC)is a common malignant tumor in clinical practice,and image-guided thermal ablation is a radical treatment method for early-stage HCC and a method for palliative tumor reduction and combination with systematic therapy for advanced HCC.With the advantages of real-time imaging,accurate guiding,easy operation,portability,low cost,no radiation damage,and high efficiency,ultrasound plays an important role in preoperative planning,intraoperative guiding,postoperative evaluation,and long-term follow-up in thermal ablation for HCC.With the advances in ultrasound and imaging fusion technology and the development of functional imaging technology represented by photoacoustic imaging,ultrasound-guided thermal ablation is at the forefront of precision treatment of HCC,achieving long-lasting development and developing into a more minimally invasive,accurate,safe,and effective diagnostic and therapeutic mode.

关 键 词：癌 肝细胞 消融技术 超声 多模态影像融合 光声成像 

分 类 号：R735.7[医药卫生—肿瘤]