肖庆;
XIAO Qing;Ultrasound Department,Mianyang Third People's Hospital;

• 1:绵阳市第三人民医院超声科

摘要(Abstract)：

目的:探讨实时超声造影在肝癌射频治疗术中的应用价值。方法:选取接受射频治疗的原发性肝癌患者90例,按术前影像学检查方法均分为观察组和对照组,观察组采用实时超声造影检查,对照组采用常规超声检查,术前超声检查结果与手术结果进行比较,观察两组影像学检查对病灶直径大小检测的准确度、肝癌病灶主滋养动脉及不规则病灶的个数、术后远期生存率、并发症和复发率及疗效。结果:术前实时超声造影对病灶直径大小检测的准确度显著高于常规超声,观察组肝癌病灶主滋养动脉及不规则病灶的个数显著多于对照组(P<0.05);观察组手术后远期生存率显著高于对照组(P<0.05),在第10个月时趋于稳定;观察组患者并发症和复发率显著低于对照组(P<0.05),射频治疗疗效显著高于对照组(P<0.05)。结论:实时超声造影在肝癌射频治疗术中的作用优于常规超声检查。
Objective: To explore the effect of real-time contrast enhanced ultrasound on liver cancer radiofrequency therapy. Methods: Ninety patients diagnosed as primary liver cancer and were divided into observation group and control group according to preoperative imaging examination methods. Adopting real-time contrast enhanced ultrasound to test observation group and conventional ultrasound test on control group. Comparing pre-operative ultrasound test result and surgery result,observing accuracy of lesion diameter tested by two different ultrasound tests,number of lesion,post-operative survival rate,complications,recurrence rate and efficacy. Results: Preoperative detection of real-time contrast enhanced ultrasound in average diameter size of the lesions showed higher accuracy than that of conventional ultrasound examination,the difference was statistically significant( P < 0. 05); observation group patients showed more number of main nutrient arteries of HCC lesions and the irregular lesions than the control group( P < 0. 05); complication and recurrence rate of patients in observation group were lower than control group( P < 0. 05); efficacy of radiofrequency therapy was higher than control group( P < 0. 05). Conclusion: Real-time contrast enhanced ultrasound in liver cancer radiofrequency therapy is better than conventional ultrasound test.

关键词(KeyWords)： 超声检查;实时超声造影;癌,肝细胞;射频治疗;治疗结果
ultrasonography;real-time contrast enhanced ultrasound;carcinoma,hepatocellular;radiofrequency therapy;therapeutic effect

Abstract:

Keywords:

基金项目(Foundation):

作者(Authors): 肖庆;
XIAO Qing;Ultrasound Department,Mianyang Third People's Hospital;

DOI: 10.19367/j.cnki.1000-2707.2015.11.032

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