实时超声造影引导下微波消融治疗原发性肝癌的临床观察  

Clinical observation of real-time contrast-enhanced ultrasonography guided microwave ablation in the treatment of primary hepatic carcinoma

作　　者：蓝思荣[1] 温苑章[1] 李雄 王亮发 LAN Si-rong;WEN Yuan-zhang;LI Xiong;WANG Liang-fa(The Second Department of Ultrasound,Meizhou People's Hospital,Meizhou 514000,China)

机构地区：[1]广东省梅州市人民医院超声二科,广东梅州514000

出　　处：《广东医科大学学报》2021年第1期59-61,共3页Journal of Guangdong Medical University

摘　　要：目的观察实时超声造影引导下实施原发性肝癌微波消融治疗的效果。方法87例原发性肝癌患者随机分为研究组(44例)与对照组(43例)。两组患者均行经皮微波消融术治疗,对照组在常规二维超声引导下进行经皮微波消融术治疗,研究组则在实时超声造影引导下进行经皮微波消融术治疗。比较两组患者的微波消融效果(肿瘤消融率)、微波消融术并发症及术后3个月肿瘤复发情况。结果研究组肿瘤消融率高于对照组(95.5%vs 74.4%,P<0.01),术后3个月肿瘤复发率低于对照组(9.1%vs 23.3%,P<0.05)。两组术后并发症总发生率差异无统计学意义(P>0.05)。结论实时超声造影引导下行微波消融术治疗肝癌可提高微波消融率高,降低术后3个月肿瘤复发率,且安全性也较好。Objective To observe the effect of real-time contrast-enhanced ultrasonography guided microwave ablation in the treatment of primary hepatic carcinoma.Methods Eighty-seven patients with primary hepatic carcinoma were randomly divided into the Study Group(44 cases)and Control Group(43 cases).Both groups received percutaneous microwave ablation.The Control Group received conventional two-dimensional ultrasound guided percutaneous microwave ablation while the Study Group received real-time contrast-enhanced ultrasonography guided percutaneous microwave ablation.The two groups were compared in terms of the efficacy of microwave ablation(tumor ablation rate),complications of microwave ablation and tumor recurrence at postoperative 3 months.Results The Study Group had the tumor ablation rate higher than the Control Group(95.5%vs 74.4%,P<0.01)and had the tumor recurrence rate at postoperative 3 months lower than the Control Group(9.1%vs 23.3%,P<0.05).There was no significant difference in the total incidence of postoperative complications between the two groups(P>0.05).Conclusion The real-time contrast-enhanced ultrasonography guided microwave ablation for hepatic carcinoma can improve the rate of microwave ablation,reduce the rate of tumor recurrence at postoperative 3 months,and has good safety.

关 键 词：原发性肝癌 微波消融 实时超声造影 

分 类 号：R735.7[医药卫生—肿瘤]