MRI在肝泡型包虫病患者微波消融术后疗效评估中的应用分析  

Application of MRI in the Evaluation of the Curative Effect of Patients with Hepatic Alveolar Hydatid Disease after Microwave Ablation

作　　者：刘刚[1] 甘郑宁 薛长菊 何慧[1] 解晓婷 LIU Gang;GAN Zheng-ning;XUE Chang-ju;HE Hui;XIE Xiao-ting(Department of Radiological Interventional Imaging,Qinghai Red Cross Hospital,Xining 810000,Qinghai Province,China)

机构地区：[1]青海红十字医院放射影像介入科,青海西宁810000

出　　处：《中国CT和MRI杂志》2021年第8期106-109,共4页Chinese Journal of CT and MRI

摘　　要：目的探讨MRI在肝泡型包虫病患者微波消融术后疗效评估中的应用,分析肝泡型包虫病患者微波消融术治疗疗效评估中MRI的应用及影像学特征变化研究。方法选取2017年5月至2019年5月我院收治的肝泡型包虫病患者140例,选择同期35例病毒性肝炎肝硬化患者作为对照组。比较肝泡型包虫病组术前、术后病灶边缘和对照组ADC值、病灶最大直径变化。结果肝泡型包虫病组术前、术后3个月、6个月ADC值低于对照组(P<0.05),术后1年ADC值和对照组无明显差异(P>0.05);实性部分ADC值中术后3个月、6个月、1年低于手术前(P<0.05)。术前和术后3个月之间病灶最大直径无明显变化(P>0.05),术后6个月、1年病灶最大直径低于手术前(P<0.05)。结论肝泡型包虫病患者微波消融术治疗疗效评估中,应用MRI可以充分地了解病灶,同时还可以有效改善ADC值,临床上应当进一步推广应用。Objective To explore the application of MRI in the evaluation of curative effect of microwave ablation in patients with hepatic alveolar echinococcosis,and to analyze the application of MRI and the changes of imaging characteristics in the evaluation of curative effect of microwave ablation in patients with hepatic alveolar echinococcosis.Methods 140 patients with hepatic alveolar echinococcosis in our hospital from May 2017 to may 2019 were selected,and 35 patients with viral hepatitis and cirrhosis in the same period were selected as the control group.The ADC value and the maximum diameter of the lesions in the hepatic alveolar echinococcosis group and the control group were compared before and after operation.Results the ADC value of hepatic alveolar echinococcosis group was lower than that of the control group before operation,3 months and 6 months after operation(P<0.05),and there was no significant difference between the two groups at 1 year after operation(P>0.05);the ADC value of solid part was lower than that of the control group at 3 months,6 months and 1 year after operation(P<0.05).There was no significant change in the maximum diameter of the lesion between preoperation and 3 months after operation(P>0.05).The maximum diameter of the lesion at 6 months and 1 year after operation was lower than that before operation(P<0.05).Conclusion in the evaluation of the therapeutic effect of microwave ablation in patients with hepatic alveolar echinococcosis,MRI can fully understand the lesions and effectively improve the ADC value,which should be further promoted and applied in clinic.

关 键 词：肝泡型包虫病 微波消融术 MRI 影像学特征变化 

分 类 号：R445.2[医药卫生—影像医学与核医学] R532.32[医药卫生—诊断学]