原发性中晚期肝癌肝动脉介入和分子靶向药物治疗CT和MRI检查时的护理干预  

Nursing interention in CT and MRI in evaluating the effect of interventional and molecular targeted therapy in patients with primary liver cancer

作　　者：杨春红[1] 朱玉[1] 梁俊丽[1] 伍耀敏 YANG Chunhong;ZHU Yu;LIANG Junli;WU Yaomin(Department of Radiology, First Affiliated Hospital of Guangxi Medical University, Nanning 530000, P.R.China)

机构地区：[1]广西医科大学第一附属医院放射科,广西南宁530000

出　　处：《医学影像学杂志》2022年第1期95-98,共4页Journal of Medical Imaging

摘　　要：目的探讨肝动脉介入和分子靶向药物在原发性中晚期肝癌治疗后,CT和MRI检查时的护理干预措施。方法选取50例患者入院后均开展索拉非尼以及肝动脉化疗栓塞手术治疗,并在持续治疗三个月后分别开展数字减影血管造影(DSA)、CT以及MRI检查。将DSA检查结果作为判断治疗效果的主要依据。分析DSA、CT以及CT联合MRI复查结果;对比CT与CT联合MRI检查的诊断效能;分析患者满意度情况。结果DSA、CT以及CT联合MRI检查总有效率分别是80.00%、68.00%、78.00%。CT检查在敏感度、阳性预测值、阴性预测值以及准确度方面均低于CT联合MRI检查,但两组对比无差异(P>0.05)。总满意度是96.00%。结论原发性肝癌患者介入治疗和分子靶向治疗效果评估时开展CT联合MRI检查,同时实施有效的护理干预,对于治疗后残留以及复发病灶能够有效检出。Objective To analyze the efficacy of computed tomography(CT)and magnetic resonance imaging(MRI)in the treatment of primary advanced liver cancer with hepatic artery intervention and molecular drugs and explore the best nursing measures.Methods The clinical data of 50 patients with advanced primary liver cancer received in our hospital from March 2019 to March 2021 were retrospectively analyzed.All patients were treated with sorafenib and hepatic artery chemoembolization after entering the hospital,and subjected to digital subtraction angiography(DSA),CT and MRI after three months of continuous treatment.The results of DSA were used as the main basis to judge the therapeutic effect.The results of DSA,CT and CT combined with MRI were analyzed,the diagnostic efficacy of CT and CT combined with MRI was compared,and the patient satisfaction was analyzed.Results The total effective rates of DSA,CT and CT combined with MRI were 80.00%,68.00%and 78.00%respectively.The sensitivity,positive predictive value,negative predictive value and accuracy of CT were lower than those of CT combined with MRI,but there was no significant difference between the two groups(P>0.05).The total satisfaction was 96.00%.Conclusion CT combined with MRI and effective nursing intervention can effectively detect residual and recurrent lesions after treatment,improve satisfaction and play certain intervention role.

关 键 词：原发性肝癌 分子靶向治疗 介入治疗 磁共振成像 体层摄影术 X线计算机 护理干预 

分 类 号：R814.42[医药卫生—影像医学与核医学] R735.7[医药卫生—放射医学]