CT检查对肝癌患者介入治疗疗效的评估价值  

Value of CT examination in evaluating the efficacy of interventional therapy in patients with liver cancer

作　　者：万晓旻 张东超 WAN Xiaomin;ZHANG Dongchao(Department of Imaging,Xinxiang Infectious Diseases Hospital,Xinxiang 453000,He’nan,China)

机构地区：[1]新乡市传染病医院影像科,河南新乡453000

出　　处：《癌症进展》2023年第3期273-276,共4页Oncology Progress

摘　　要：目的探讨CT检查对肝癌患者介入治疗疗效的评估价值。方法选取100例肝癌介入治疗患者,介入治疗后采用CT复查不同类型肝癌患者碘油沉积情况、临床疗效。比较介入治疗前后、介入治疗后肝癌组织与正常组织的灌注参数。结果肿块型肝癌患者介入治疗的疾病控制率为92.86%,与结节型肝癌患者的96.67%比较,差异无统计学意义(P﹥0.05)。介入治疗后,肝癌患者肝血流量、血容量、毛细血管通透性、肝动脉分数均明显低于治疗前,差异均有统计学意义(P﹤0.01),平均通过时间、肿瘤直径与治疗前相比,差异均无统计学意义(P﹥0.05)。介入治疗后,肝癌患者肝癌组织中肝血流量、肝动脉分数均明显高于正常组织,血容量、平均通过时间、毛细血管通透性均明显低于正常组织,差异均有统计学意义(P﹤0.01)。结论CT检查能有效评估肝癌患者介入治疗的疗效,其对早期介入治疗方案的制订和评估有重要作用。Objective To explore the value of CT examination in evaluating the efficacy of interventional therapy in patients with liver cancer.Method Selected 100 patients with liver cancer after interventional treatment,and rechecked the lipiodol deposition and clinical efficacy of different types of liver cancer patients with CT after interventional treatment.Compared the perfusion parameters of liver cancer tissue and normal tissue before and after interventional therapy.Result The disease control rate of patients with lumpy liver cancer after interventional therapy was 92.86%,which was not significantly different from 96.67%of patients with nodular liver cancer(P>0.05).After interventional treatment,the liver blood flow,blood volume,capillary permeability and hepatic artery fraction of patients with liver cancer were lower than those before treatment,the differences were statistically significant(P<0.01),the average passage time and tumor diameter were not significantly different from those before treatment(P>0.05).After interventional therapy,the hepatic blood flow and hepatic artery fraction in liver cancer tissue of patients with liver cancer were higher than those in normal tissue,and the blood volume,mean passage time and capillary permeability were lower than those in normal tissue,the differences were statistically significant(P<0.01).Conclusion CT examination can effectively evaluate the efficacy of interventional therapy in patients with liver cancer,and it plays an important role in the formulation and evaluation of early interventional therapy.

关 键 词：肝癌 CT 介入治疗 近期疗效 

分 类 号：R735.7[医药卫生—肿瘤]